Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery最新文献

The Surgeon, the Robot, and the Stapler: Comparison of Stapling Strategies During Robotic Lobectomy. 外科医生、机器人和订书机：机器人肺叶切除术中订书机策略的比较。

IF 1.7

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2026-10-17 DOI: 10.1177/15569845261488443

John F Lazar, I-Wen Pan, Abbas Abbas, Richard Lazzaro, Inderpal Sarkaria, Laurence Spier, Sudish Murthy

{"title":"The Surgeon, the Robot, and the Stapler: Comparison of Stapling Strategies During Robotic Lobectomy.","authors":"John F Lazar, I-Wen Pan, Abbas Abbas, Richard Lazzaro, Inderpal Sarkaria, Laurence Spier, Sudish Murthy","doi":"10.1177/15569845261488443","DOIUrl":"https://doi.org/10.1177/15569845261488443","url":null,"abstract":"Objective: There are 2 methods for surgical stapling during robotic lobectomy (RL): handheld assistant-driven (HH) and robotic (RS) staplers. This study aims to compare the clinical and financial outcomes between these HH and RS approaches used in RL for lung cancer.Methods: Between January 1, 2021, and December 31, 2022, patients who underwent elective RL for lung cancer were identified and extracted from the PINC AI™ Healthcare Database. To compare RS and HH outcomes, 1:1 nearest-neighbor propensity score matching (PSM) was conducted using patient and provider characteristics. Chi-square, Fisher's exact, and t tests were used to examine outcomes after PSM. Multivariable generalized linear models (GLMs) with respective gamma or binomial distribution and log-link function were also performed to examine outcome variations.Results: A total of 2,511 inpatient admissions following RL were included (14.4% HH and 85.6% RS), and 361 matched pairs were generated by PSM. Adjusted outcomes showed no significant differences in air leak, postoperative pneumothorax, or length of stay between matched pairs. There was a 12.5% versus 5.5% rate of bleeding associated with RS versus HH (odds ratio = 2.4, 95% confidence interval [CI]: 1.4, 4.2, P = 0.001); however, GLMs minimized the discrepancy. Using RS had higher inpatient costs than HH (mean difference [MD] = $7,024 USD, 95% CI: $4,495, $9,554, P < 0.001). Operating room (OR) time was longer for RS than HH (MD = 25 min, 95% CI: 12, 38, P = 0.002).Conclusions: Assistant-driven HH used in RL for lung cancer appears at least as safe and effective as RS but may provide increased OR efficiency and cost savings. In this era of fiscal austerity, these findings cannot be overlooked.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261488443"},"PeriodicalIF":1.7,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Concomitant Endoscopic Procedure for Aortic Stenosis and Left Ventricular Thrombus. 主动脉瓣狭窄和左心室血栓的联合内镜手术。

IF 1.7

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2026-10-17 DOI: 10.1177/15569845261495059

Kenta Kan, Soh Hosoba

引用次数: 0

Ross-PEARS: Autograft Reinforcement Using Personalized External Aortic Root Support. Ross-PEARS：使用个性化主动脉外根支持的自体移植物加固。

IF 1.7

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2026-10-14 DOI: 10.1177/15569845261491294

Alfred Kocher, Martin Winter, Paul Werner, Iuliana Coti, Amila Kahrovic, Peter Murin, Martin Andreas, Daniel Zimpfer, Emilio Osorio-Jaramillo

引用次数: 0

External Support for the Aortic Root and Modern Applications in the Ross Procedure. 主动脉根部的外部支撑及其在罗斯手术中的现代应用。

IF 1.7

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2026-10-14 DOI: 10.1177/15569845261492317

Alexander Makkinejad, Tomas D Martin, Thomas M Beaver

引用次数: 0

Comparative Outcomes of Left Anterior Thoracotomy Versus Resternotomy for Pulmonic Valve Replacement After Tetralogy of Fallot Repair. 法洛四联症修复后肺动脉瓣置换术左前开胸与胸腔切开的比较结果。

IF 1.7

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2026-10-14 DOI: 10.1177/15569845261477377

Noppon Taksaudom, Amarit Phothikun, Jakaparn Horsatidkul, Thitipong Thepsuwan, Surin Woragidpoonpol

{"title":"Comparative Outcomes of Left Anterior Thoracotomy Versus Resternotomy for Pulmonic Valve Replacement After Tetralogy of Fallot Repair.","authors":"Noppon Taksaudom, Amarit Phothikun, Jakaparn Horsatidkul, Thitipong Thepsuwan, Surin Woragidpoonpol","doi":"10.1177/15569845261477377","DOIUrl":"https://doi.org/10.1177/15569845261477377","url":null,"abstract":"Objective: Redo pulmonary valve replacement (PVR) in patients with prior tetralogy of Fallot (TOF) repair is surgically challenging. This study aimed to compare the clinical outcomes of the left anterior minithoracotomy (LAT) approach with the traditional resternotomy approach for PVR.Methods: A retrospective analysis was conducted on 38 TOF patients who underwent redo PVR, categorized into LAT (n = 20) and resternotomy (n = 18) groups. Patients requiring concomitant valvular surgeries or repair of residual intracardiac shunts were excluded. We compared demographics, operative details, and postoperative outcomes.Results: Baseline demographics were comparable between groups, except for a higher proportion of males in the LAT group (75% vs 38.9%, P = 0.047). The LAT approach demonstrated nonsignificant favorable trends, including shorter operative times (157.05 ± 49.42 vs 178.06 ± 58.69 min, P = 0.239) and shorter postoperative hospital stays (4.75 ± 1.21 vs 6.17 ± 4.38 days, P = 0.173). Vasoactive-inotropic scores were significantly lower in the LAT group both immediately postoperatively (0.05 ± 0.22 vs 4.36 ± 6.95, P = 0.009) and on postoperative day 1 (0 vs 2.17 ± 4.52, P = 0.039). Postoperative complications, such as atrial fibrillation and pleural effusion, were similar between groups. There was no mortality in either group.Conclusions: The LAT approach for PVR after TOF repair is a safe alternative to resternotomy. Comprehensive preoperative imaging evaluation is crucial for determining the optimal incision site. Further studies with larger cohorts are needed to confirm the potential benefits of this approach.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261477377"},"PeriodicalIF":1.7,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The 10 Commandments for the Ross PEARS Procedure. 罗斯梨程序的十诫。

IF 1.7

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2026-10-14 DOI: 10.1177/15569845261488299

Daniel Zimpfer, Severin Laengle, Alexandra Andreeva, Martin Winter, Martin Andreas, Emilio Osorio-Jaramillo, Alfred Kocher

引用次数: 0

Understanding PEARS: A Practical Guide to Personalized External Aortic Root Support. 了解梨：个性化主动脉外根支持的实用指南。

IF 1.7

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2026-10-09 DOI: 10.1177/15569845261488040

Martin Winter, Severin Laengle, Emilio Osorio-Jaramillo, Alfred Kocher

引用次数: 0

Combined Transcatheter Aortic Valve Replacement and Endovascular Aortic Repair for Aortitis After Valve-Sparing Root and Frozen Elephant Trunk. 经导管联合主动脉瓣置换术和血管内主动脉修复术治疗保留瓣根和冷冻象干后的大动脉炎。

IF 1.7

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2026-09-28 DOI: 10.1177/15569845261472798

Shawn Shah, Matthew A Thompson, James J Yun, Samir Kapadia, Eric E Roselli

引用次数: 0

Is Annular Enlargement in Right Minithoracotomy Aortic Valve Replacement Safe and Feasible? 右小开胸主动脉瓣置换术环形扩大安全可行吗？

IF 1.7

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2026-09-28 DOI: 10.1177/15569845261488441

Alessandro Vivacqua, Bogdan Kindzelski, Thomas Schwann

引用次数: 0

Heart Programs Are Strengthened by Pumping Iron. 有氧运动可以增强心脏功能。

IF 1.7

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2026-09-28 DOI: 10.1177/15569845261485309

Bruce D Spiess

引用次数: 0