Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery最新文献_第2页

Robot-Assisted Bronchoscopy for Identification of Lung Nodules During Minimally Invasive Pulmonary Resection. 机器人辅助支气管镜在微创肺切除术中识别肺结节

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1177/15569845241247549

James Shahoud, Benny Weksler, Sohini Ghosh, Aarthi Ganesh, Hiran Fernando

{"title":"Robot-Assisted Bronchoscopy for Identification of Lung Nodules During Minimally Invasive Pulmonary Resection.","authors":"James Shahoud, Benny Weksler, Sohini Ghosh, Aarthi Ganesh, Hiran Fernando","doi":"10.1177/15569845241247549","DOIUrl":"10.1177/15569845241247549","url":null,"abstract":"Objective: Small pulmonary nodules can be difficult to identify during minimally invasive surgical (MIS) resection. Previous investigators have reported using standard bronchoscopy with electromagnetic navigation to identify small pulmonary nodules. Robot-assisted bronchoscopy has been introduced into clinical practice and has shown utility for the biopsy of small lesions. We report our experience using robot-assisted bronchoscopy with dye marking to aid in minimally invasive pulmonary resection.Methods: Patients with peripheral pulmonary nodules underwent robot-assisted bronchoscopy before a planned minimally invasive resection. Indocyanine green or methylene blue was injected directly into the targeted lesion. Surgical resection was then immediately performed. Success was defined as dye visualization leading to sublobar resection of the target nodule without the need for lobectomy or thoracotomy.Results: Thirty patients with a single targeted nodule underwent robot-assisted bronchoscopy followed by MIS resection. The median lesion size was 9 mm (4 to 25 mm), and the median distance from the pleura was 5 mm (1 to 32 mm). The success rate was 83.3% (25 of 30). There were 3 cases in which the dye was not visualized, and in 2 cases there was free extravasation of dye. The targeted nodule was identified in these 5 patients without the need for thoracotomy or lobectomy. Pathology revealed non-small cell lung cancer (n = 13, 43.3%), metastatic disease (n = 11, 36.7%), and benign disease (n = 6, 20%). There were no complications related to the use of robot-assisted bronchoscopy.Conclusions: Robot-assisted bronchoscopy with dye marking is safe and effective for guiding minimally invasive resection of small peripheral pulmonary nodules.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897661","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

Robotic Thoracic Duct Repair Using Indocyanine Green Guidance. 使用吲哚菁绿引导的机器人胸导管修复术

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1177/15569845241246565

Oscar Zhang, Joanne Irons, Jaime Santibanez, Christopher Cao

引用次数: 0

Totally Endoscopic Redo Tricuspid Repair With a Modified Clover Triple Edge-to-Edge Technique. 改良三叶草三边对边技术的全内镜三尖瓣重修术

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-06-05 DOI: 10.1177/15569845241253279

Antonios Pitsis, Apostolia Marvaki, Konstantinos Lolakos, Martin Andreas

引用次数: 0

Low-Cost Innovations in Global Cardiac Surgery. 全球心脏外科的低成本创新。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-06-03 DOI: 10.1177/15569845241252441

Hera Jamil, Sruthi Ranganathan, Aemon B Fissha, Eric E Vinck, Dominique Vervoort

{"title":"Low-Cost Innovations in Global Cardiac Surgery.","authors":"Hera Jamil, Sruthi Ranganathan, Aemon B Fissha, Eric E Vinck, Dominique Vervoort","doi":"10.1177/15569845241252441","DOIUrl":"10.1177/15569845241252441","url":null,"abstract":"Cardiovascular diseases are the leading cause of morbidity and mortality worldwide, costing the lives of 18 million people annually, with up to one-third being attributable to cardiac surgical conditions. Approximately 6 billion people do not have access to safe, timely, and affordable cardiac surgery, predominantly affecting populations living in low-middle income countries. Cardiac surgical care is costly, resulting in few centers in variable-resource contexts operating continuously or with the resources observed in higher-resource environments. As a result, innovations may be formally developed or informally adopted to bypass resource constraints and ensure care delivery. Innovations have been observed across the cardiac surgical care continuum and across settings, potentially benefiting both high-income countries, where growing health care costs are becoming unsustainable, and low- and middle-income countries, where competing health agendas may limit investments into cardiac surgery. This narrative review attempts to address the costs associated with cardiac surgery, placing an emphasis on frugal innovations in the perioperative and postoperative care spectrum.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199828","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

Combined Cervicotomy and Robot-Assisted Surgical Approach for Intrathoracic Thyroid Goiter: A Case Series. 胸腔内甲状腺肿的联合颈椎切开术和机器人辅助手术方法：病例系列。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-05-10 DOI: 10.1177/15569845241247850

Giorgia Piccioni, Alessandra Siciliani, Fabiana Messa, Paolo Mercantini, Antonio D'Andrilli, Matteo Tiracorrendo, Erino Angelo Rendina, Mohsen Ibrahim

引用次数: 0

The 7 Pillars of Transcatheter Tricuspid Valve Interventions. 经导管三尖瓣介入治疗的 7 大支柱。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 DOI: 10.1177/15569845241259498

Ali M Alakhtar, Tsuyoshi Kaneko

引用次数: 0

Letter to the Editor: Facilitating Proximal Anastomosis in Minimally Invasive Coronary Artery Bypass Grafting. 致编辑的信：促进微创冠状动脉旁路移植术的近端吻合。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 DOI: 10.1177/15569845241258486

Zeynep Sıla Özcan, Murat Baştopçu, Gökhan Arslanhan, Anıl Karaağaç, Şahin Şenay, Muharrem Koçyiğit, Aleks Değirmencioğlu, Deniz Alis, Cem Alhan

引用次数: 0

Response to: Facilitating Proximal Anastomosis in Minimally Invasive Coronary Artery Bypass Grafting. 回应：促进微创冠状动脉旁路移植术的近端吻合。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 DOI: 10.1177/15569845241258488

Hiroki Sakai, Keita Kikuchi

引用次数: 0

The 10 Commandments for Endoscopic Minimally Invasive Tricuspid Valve Repair. 内窥镜微创三尖瓣修复十诫

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 DOI: 10.1177/15569845241264571

Mohsyn Imran Malik, Michael W A Chu

引用次数: 0

Single-Port Robotic Trans-Subxiphoid Surgery for Anterior Mediastinal Disease: A Pilot Trial. 单孔机器人经剑突下手术治疗前纵隔疾病：试点试验

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1177/15569845241248641

Chuan Cheng, Evangelos Tagkalos, Chong Beng Ng, Ya-Chun Hsu, Yu Ya Huang, Ching Feng Wu, Yin-Kai Chao

{"title":"Single-Port Robotic Trans-Subxiphoid Surgery for Anterior Mediastinal Disease: A Pilot Trial.","authors":"Chuan Cheng, Evangelos Tagkalos, Chong Beng Ng, Ya-Chun Hsu, Yu Ya Huang, Ching Feng Wu, Yin-Kai Chao","doi":"10.1177/15569845241248641","DOIUrl":"10.1177/15569845241248641","url":null,"abstract":"Objective: In recent years, there has been an increasing focus on minimally invasive mediastinal surgery using a trans-subxiphoid single-port thoracoscopic approach. Despite its potential advantages, the widespread adoption of this method has been hindered by the intricate surgical maneuvers required within the confined retrosternal space. Robotic surgery offers the potential to overcome the limitations inherent in the thoracoscopic technique.Methods: This was a clinical trial (NCT05455840) to evaluate the feasibility and safety of utilizing the da Vinci® SP system (Intuitive Surgical, Sunnyvale, CA, USA) for trans-subxiphoid single-port surgery in patients with anterior mediastinal disease. The primary endpoints encompassed conversion rates and the secondary endpoints included the occurrence of perioperative complications.Results: Between August 2022 and April 2023, a total of 15 patients (7 men and 8 women; median age = 56 years, interquartile range [IQR]: 49 to 65 years) underwent trans-subxiphoid robotic surgery using da Vinci SP platform for maximal thymectomy (n = 2) or removal of anterior mediastinal masses (n = 13). All surgical procedures were carried out with success, with no need for conversion to open surgery or the creation of additional ports. The median docking time was 2 min (IQR: 1 to 4 min), while the console time had a median of 152 min (IQR: 95 to 191 min). There were no postoperative complications and patients experienced a median postoperative hospital stay of 2 days with no unplanned 30-day readmission.Conclusions: This study shows that trans-subxiphoid single-port robotic surgery employing the da Vinci SP system in patients with anterior mediastinal disease is clinically viable with acceptable safety and short-term outcomes.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897847","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