The Utility of a 3D Endoscope and Robot-Assisted System for MIDCAB

作者: Yuki Endo , Yoshitsugu Nakamura , Miho Kuroda , Yujiro Ito , Takaki Hori

DOI: 10.5761/ATCS.OA.18-00254

关键词: MedicineEndoscopeMaceHybrid coronary revascularizationSurgical incisionIntercostal spacePercutaneous coronary interventionThoracotomyConventional PCISurgery

摘要: Background: Minimally invasive direct coronary artery bypass (MIDCAB) has been revived with new techniques and hybrid procedures for MIDCAB percutaneous intervention (PCI). We reviewed the midterm results of a three-dimensional (3D) endoscope in our institution. Methods: Of 359 patients who underwent off-pump grafting (CABG) from December 2013 to March 2017, 54 had left internal thoracic (LITA) anterior descending (LAD) through small thoracotomy 3D endoscope. The same intercostal space was used main surgical incision insertion site In all, 22 revascularization (HCR), combined PCI MIDCAB. Results: There no operative death. One patient cerebral infarction without disability. No cases showed significant increases CKMB. 34 commenced ambulation on postoperative day 1. hospital stay 9.1 ± 5.0 days. total, 37 computed tomography (CT), their patency LITA 100%. HCR, there mortality major adverse cardiovascular event (MACE). Target lesion among 12 months 1.6%. Conclusion: endoscope-assisted harvesting were satisfactory. MIDCAB, including is good alternative selected high-risk patients.

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