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

{"title":"Robotic Bilobectomy for Stage IIIA NSCLC With Bulky Nodal Disease After Neoadjuvant Chemoimmunotherapy.","authors":"Diana S Hsu, Dana Ferrari-Light, Peter J Kneuertz","doi":"10.1177/15569845251339155","DOIUrl":"https://doi.org/10.1177/15569845251339155","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251339155"},"PeriodicalIF":1.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325591","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":"Minimally Invasive Mitral Valve Surgery Using the FlexCrown Retractor: A Safe and Effective New Self-Expandable Left Atrial Exposure Device.","authors":"Sara Volpi, Joy Eldin, Bonnie Kyle, Kostas Savvatis, Oliver Guttmann, Ragi Nagib, Samir Ahad, Ulrich Franke, Magdalena Rufa, Dincer Aktuerk","doi":"10.1177/15569845251348195","DOIUrl":"https://doi.org/10.1177/15569845251348195","url":null,"abstract":"<p><strong>Objective: </strong>Minimally invasive mitral valve surgery (MIMVS) is being increasingly adopted worldwide. Pivotal to the safe conduct of the procedure is optimal visualization to allow detailed valve analysis and assessment of reparability. Positioning of conventional transthoracic left atrial retractors used during MIMVS may be time-consuming and can result in a limited view or thoracic bleeding. The aim of this study was to evaluate the safety and efficacy of the FlexCrown™ retractor by Geister (Tuttlingen, Germany), an innovative self-expandable left atrial retractor, during MIMVS.</p><p><strong>Methods: </strong>A retrospective analysis was performed of 245 patients at 2 mitral specialist centers from January 2017 to July 2022. All patients underwent MIMVS via a right minianterolateral thoracotomy using the FlexCrown retractor.</p><p><strong>Results: </strong>There were 129 female (53%) and 116 male (47%) patients with a mean age of 67 ± 10 years. The etiology of the mitral valve pathology was stenosis in 11% of patients (<i>n</i> = 27), regurgitation in 80% (<i>n</i> = 196), and mixed in 9% (<i>n</i> = 22). The device was used for both mitral valve repair (<i>n</i> = 125) and replacement (<i>n</i> = 120). There were no cases of tissue damage, dislodgement, or migration of the FlexCrown retractor. The postoperative transthoracic echocardiogram showed no or trivial mitral regurgitation in 90% of patients (<i>n</i> = 220).</p><p><strong>Conclusions: </strong>The FlexCrown self-expandable left atrial retractor by Geister allows excellent and safe exposure of the mitral valve with fast deployment and removal during MIMVS. The use of this innovative retractor may represent a helpful alternative to conventional left atrial retractors.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251348195"},"PeriodicalIF":1.6,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293692","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":"Total Robotic Ivor-Lewis Esophagectomy With Concurrent Resection of Chest Wall Metastasis for Oligometastatic Esophageal Cancer.","authors":"M Jawad Latif, Russell Seth Martins, Jeffrey Luo, Kostantinos Poulikidis, Faiz Y Bhora","doi":"10.1177/15569845251346208","DOIUrl":"https://doi.org/10.1177/15569845251346208","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251346208"},"PeriodicalIF":1.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257936","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":"Totally Endoscopic Aortic Valve Replacement With Triangulated Suturing: How to Do It.","authors":"Gianpiero Buttiglione, Can Gollmann-Tepeköylü, Lukas Stastny, Judith Martini, Daniel Höfer, Michael Grimm, Nikolaos Bonaros","doi":"10.1177/15569845251344614","DOIUrl":"https://doi.org/10.1177/15569845251344614","url":null,"abstract":"<p><p>In the evolving landscape of endoscopic aortic valve replacement (AVR), the alignment of instruments is crucial for overcoming difficulties related to the narrow aortic space. Here, we describe a technique of lateral suturing based on the principle of instrument triangulation, which allows perpendicular stiches to the aortic annulus like an open aortic valve procedure. This technique facilitates endoscopic AVR, performed through a 3 cm long right anterolateral mini-thoracotomy without rib retraction using a 3-dimensional endoscope and femoro-femoral cardiopulmonary bypass. Our approach uses a more lateral positioning of the vent and the transthoracic clamp as well as the addition of a single lateral port, which allows optimal angulation of the instruments to the aortic annulus and the ascending aorta. This technique facilitates endoscopic suturing without the use of automated devices through a transverse aortotomy. Annular sutures are placed in a perpendicular way in the aortic annulus by avoiding challenging \"hook\" stitches. In this case, we use an additional 10 mm port in the fourth right intercostal space through a small periareolar incision. With this technique, it is possible to implant any type of aortic prosthesis, either biological or mechanical.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251344614"},"PeriodicalIF":1.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257983","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":"Efficacy of Single-Anesthesia Bronchoscopy and Resection Using the Shape-Sensing Robotic Navigational Platform.","authors":"Bhupaul Ramsuchit, Nicholas MacDonald, Matthew Johnston, Juan Escalon, Luis Herrera","doi":"10.1177/15569845251344598","DOIUrl":"https://doi.org/10.1177/15569845251344598","url":null,"abstract":"<p><strong>Objective: </strong>Robotic navigational bronchoscopy and endobronchial ultrasound have augmented diagnostic yield and localization of challenging pulmonary nodules. However, there is a paucity of literature regarding its role in decision-making during single-anesthesia bronchoscopy and resection (SABAR). We aim to describe our experience of SABAR via shape-sensing robotic navigational bronchoscopy (SSRNB).</p><p><strong>Methods: </strong>A retrospective observational chart review was performed of adult patients who underwent SSRNB between August 2020 and April 2022. Diagnostic yield, localization success, treatment timelines, and cost were analyzed. Patients were categorized on the preoperative intent of SABAR for either localization or diagnostic yield. Localization was intended in nonpalpable peripheral nodules and multifocal nodules, whereas diagnostic yield was intended in deep nodules and multifocal nodules.</p><p><strong>Results: </strong>A total of 73 patients and 96 nodules were analyzed. The average age was 67 years, with 43 of 73 (59%) being female. Approximately 58 of 73 patients (80%) identified as current or former smokers, and 12 of 73 (16.4%) had a history of lung cancer. The average tumor size was 1.4 cm. Localization confirmed by fluorescence imaging was achieved in 56 of 56 patients (100%) with localization intent and 76 of 76 (100%) of the entire sample. Successful diagnostic yield was obtained in 20 of 26 patients (76.9%) with biopsy intent who then underwent immediate resection. Diagnostic yield for the entire sample was 47 of 76 (61.8%). Eight of 14 benign nodules identified by SSRNB were resected due to persistent concern and concordant. Surgical resection occurred within 30 days of initial consultation for 50 of 73 patients (70%). A total variable cost saving of $4,000 was observed in SABAR relative to separate procedures.</p><p><strong>Conclusions: </strong>This novel study demonstrates that SABAR with SSRNB is an effective way to intraoperatively localize and potentially diagnose difficult lung nodules during planned resection. This efficacy accelerates treatment timelines and decreases hospital costs. Future studies are warranted to delineate patient populations who would benefit most from SABAR using SSRNB.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251344598"},"PeriodicalIF":1.6,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233920","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":"Hybrid Arch Frozen Elephant Trunk Repair With a Multibranched Hybrid Graft.","authors":"Brandon R Loshusan, Mathieu Rheault-Henry, Michael W A Chu","doi":"10.1177/15569845251332921","DOIUrl":"https://doi.org/10.1177/15569845251332921","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251332921"},"PeriodicalIF":1.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142411","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 Totally Endoscopic Beating Heart Off-Pump Coronary Bypass: Improvising Coronary Artery Stabilization Without the EndoWrist Stabilizer.","authors":"Ghulam Murtaza, Nuh H Cheema, Jake Enz, Husam H Balkhy","doi":"10.1177/15569845251339158","DOIUrl":"https://doi.org/10.1177/15569845251339158","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251339158"},"PeriodicalIF":1.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142414","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":"Minimally Invasive Combined Aortic Valve Replacement and Coronary Artery Bypass Grafting Through Left Anterior Minithoracotomy.","authors":"Volodymyr Demianenko, Hilmar Dörge, Marius Grossmann, Christian Sellin","doi":"10.1177/15569845251339187","DOIUrl":"https://doi.org/10.1177/15569845251339187","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251339187"},"PeriodicalIF":1.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142413","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":"Duration of Post-Hospital Discharge Opioids Affects Long-Term Physical Function and Pain Following Cardiac Surgery at a Community Hospital.","authors":"Linda F Barr, Amanda Rea, Zach E Adams, Kate Knott, Rebecca Sandler, Rawn Salenger","doi":"10.1177/15569845251338858","DOIUrl":"https://doi.org/10.1177/15569845251338858","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251338858"},"PeriodicalIF":1.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136324","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":"Commentary: The End of the Learning Curve Is the Beginning of Good Judgment.","authors":"Nikolaos Bonaros, Can Gollmann-Tepeköylü, Daniel Höfer, Michael Grimm","doi":"10.1177/15569845251337401","DOIUrl":"https://doi.org/10.1177/15569845251337401","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251337401"},"PeriodicalIF":1.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127548","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}