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

{"title":"Nonrobotic Totally Endoscopic Harvesting of Bilateral Internal Thoracic Arteries Via Pressure Bag-Assisted Positioning and Symmetric Port Access.","authors":"Hiroaki Kaneyama, Kiyoshi Koizumi, Koki Ikebata, Takashi Hashimoto, Hideyuki Shimizu","doi":"10.1177/15569845251408005","DOIUrl":"https://doi.org/10.1177/15569845251408005","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251408005"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100144","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}

{"title":"Using Augmented Reality to Guide Complex Chest Wall Resection With Simplified Single-Patch Reconstruction.","authors":"Alexander Pohlman, Madison Lozanoski, Bilal Odeh, Zaid M Abdelsattar","doi":"10.1177/15569845251410549","DOIUrl":"https://doi.org/10.1177/15569845251410549","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251410549"},"PeriodicalIF":1.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100157","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}

{"title":"Ministernotomy Versus Conventional Sternotomy for Complex Aortic Surgery.","authors":"Omar A Jarral, Stevan S Pupovac, Adam Kiridly, Kenenna Onyebeke, Mei Chau, Chad A Kliger, Kush Dholakia, Nirav C Patel, S Jacob Scheinerman, Alan R Hartman, Derek R Brinster","doi":"10.1177/15569845251408057","DOIUrl":"10.1177/15569845251408057","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to assess our institutional outcomes for aortic surgery through a ministernotomy approach.</p><p><strong>Methods: </strong>A prospectively maintained database was used to retrospectively obtain outcomes for adult patients undergoing elective proximal aortic surgery between January 2015 and December 2021. Patients with chronic dissections and those undergoing isolated aortic valve replacement, redo, concomitant coronary artery bypass grafting, or total arch procedures were excluded. Multivariable logistic and linear regressions were used to explore the influence of surgical approach on a composite outcome of mortality, stroke, acute renal failure, and reoperation for bleeding. Secondary outcomes were total blood products transfused for the hospital stay and total intensive care and postoperative length of stay.</p><p><strong>Results: </strong>There were 547 patients included in this analysis, of whom 74 (13.5%) had a ministernotomy. The mean age of the cohort was 61.6 ± 14.5 years, and 121 (22.1%) were female patients. Unadjusted outcomes were comparable between the groups in terms of in-hospital mortality, stroke, acute renal failure, postoperative hospital stay, and deep wound infection. Reoperation for bleeding and total blood products transfused were higher in the ministernotomy group, which may be secondary to a higher proportion undergoing concomitant arch procedures and the effect of the learning curve. Multivariable analysis did not find the ministernotomy approach to be associated with the primary or secondary outcomes.</p><p><strong>Conclusions: </strong>The ministernotomy approach is a safe and effective way to perform complex proximal aortic surgery in selected patients. The outcomes of this study add to the growing evidence base of minimal access aortic surgery.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"80-85"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100102","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}

{"title":"Robotic Resection of an Ectopic Mediastinal Pancreatic Cyst.","authors":"Alexander Pohlman, Julia M Coughlin, Zaid M Abdelsattar, James Lubawski, Wissam Raad","doi":"10.1177/15569845251408010","DOIUrl":"10.1177/15569845251408010","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"92-93"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100115","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}

{"title":"Periareolar Approach: Gateway to Scarless Endoscopic Cardiac Surgery.","authors":"Henri Bartolozzi, Emilija Petrovic, Antonios Pitsis","doi":"10.1177/15569845251401329","DOIUrl":"10.1177/15569845251401329","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"88-89"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146051845","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}

{"title":"Intubation Injury of Left Mainstem Bronchus During Right-Sided Lung Resection: Assessment and Repair.","authors":"Adin Reisner, Anthony Giordano, Subroto Paul, Matthew L Inra","doi":"10.1177/15569845251401331","DOIUrl":"10.1177/15569845251401331","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"86-87"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100099","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}

{"title":"The 7 Pillars of Anticoagulation Treatment Following a Mitral Valve Repair.","authors":"Stephen D Waterford, Nirav C Patel, Niv Ad","doi":"10.1177/15569845261416469","DOIUrl":"10.1177/15569845261416469","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"3-7"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146165462","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}

{"title":"Operationalizing Cardiac ERAS: The 10 Commandments of F4 (Fast Forward to Full Function).","authors":"Marc W Gerdisch","doi":"10.1177/15569845261424247","DOIUrl":"10.1177/15569845261424247","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"11-21"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147377229","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}

{"title":"Integrating Video and Objective Performance Data: Development of VORTEX-SPV for Assessing Robotic Lobectomy Skills.","authors":"Alyssa D Murillo, Riley Brian, Camilla Gomes, Laleh Foroutani, Amir Ashraf Ganjouei, Hueylan Chern, Patricia S O'Sullivan, Daniel S Oh","doi":"10.1177/15569845251407699","DOIUrl":"10.1177/15569845251407699","url":null,"abstract":"<p><strong>Objective: </strong>Surgical education requires assessment tools as part of competency-based education (CBE). In robotic surgery, objective performance indicators (OPIs) are a novel objective method of measuring surgeon performance. We developed <b>V</b>ideo and <b>O</b>bjective <b>R</b>obotic <b>T</b>ask <b>E</b>valuation inde<b>X</b> on <b>S</b>uperior <b>P</b>ulmonary <b>V</b>ein dissection (VORTEX-SPV), combining video review and OPIs, to assess cardiothoracic (CT) fellow competency on SPV dissection during lobectomy.</p><p><strong>Methods: </strong>CT fellows performed robotic lobectomy on an ex vivo perfused porcine model. Synchronized video and kinematic data were captured. Seven thoracic surgery attendings completed the robotic lobectomy to provide expert-level OPI data. VORTEX-SPV is a 12-item assessment with 4 performance levels including completion, safety, economy of motion, and optimized performance. We scored video-based review items (items 1 to 6) as 0 or 1 with an inter-rater agreement of 91%. We calculated OPIs from 6 categories (e.g., wrist articulation, instrument movement, energy, smoothness, clutching, instrument time) as within (1) or beyond (0) 2 standard deviations of the expert mean. We used Rasch modeling and item response theory to evaluate reliability and validity.</p><p><strong>Results: </strong>We assessed 2 cohorts of CT fellows (2019, <i>n</i> = 50; 2023, <i>n</i> = 59). There were 60% (65 of 109) who had complete data. Reliability was high (expected a posteriori = 0.90). Fourteen trainees scored up to the level of completion, 10 at safety, 17 at economy of motion, and 24 achieved optimized performance. All items appropriately increased in difficulty (Spearman's rho coefficient = 0.93).</p><p><strong>Conclusions: </strong>VORTEX-SPV combines video review and objective performance data with strong reliability and validity evidence, serving as a robotic surgery assessment framework to facilitate CBE.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"64-72"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146219569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First Case of Bilateral Internal Mammary Harvesting on a Human Cadaver Using the hinotori™ System.","authors":"Michiel Algoet, Dries Dewulf, Christoph Wandhöfer, Wouter Oosterlinck","doi":"10.1177/15569845251408012","DOIUrl":"10.1177/15569845251408012","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"90-91"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100161","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}