Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery最新文献_第7页

Comparison of Robot-Assisted Versus Video-Assisted Thoracoscopic Segmentectomy: A Single-Institution Propensity-Matched Study. 机器人辅助与视频辅助胸腔镜节段切除术的比较：一项单一机构倾向匹配研究。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-13 DOI: 10.1177/15569845251334361

Kojo Agyabeng-Dadzie, Inderpal S Sarkaria, Ernest Chan, Ian Christie, Summer Mazur, Kristine Ruppert, Neil Christie, Omar Awais, Ryan Levy, Nicholas Baker, Rajeev Dhupar, Arjun Pennathur, James D Luketich, Matthew Schuchert

{"title":"Comparison of Robot-Assisted Versus Video-Assisted Thoracoscopic Segmentectomy: A Single-Institution Propensity-Matched Study.","authors":"Kojo Agyabeng-Dadzie, Inderpal S Sarkaria, Ernest Chan, Ian Christie, Summer Mazur, Kristine Ruppert, Neil Christie, Omar Awais, Ryan Levy, Nicholas Baker, Rajeev Dhupar, Arjun Pennathur, James D Luketich, Matthew Schuchert","doi":"10.1177/15569845251334361","DOIUrl":"10.1177/15569845251334361","url":null,"abstract":"Objective: Previous studies have evaluated the feasibility of robot-assisted thoracoscopic segmentectomy (RVATS) in comparison with video-assisted thoracoscopic segmentectomy (VATS). We report both short-term and long-term outcomes comparing RVATS and VATS at a single institution.Methods: This is a retrospective propensity-matched cohort study reviewing RVATS and VATS for primary non-small cell lung cancer (NSCLC) performed from 2013 to 2021 at our institution; 1:2 propensity matching was performed.Results: There were 108 patients who underwent RVATS and 370 who underwent VATS for primary lung cancer. After propensity matching, we had 2 well-matched cohorts of 102 patients in the RVATS group and 204 in the VATS group. Our data showed no significant difference in 90-day mortality, 30-day hospital readmission rate, or median number of lymph nodes between the RVATS and VATS groups. There was also no significant difference in postoperative morbidity except for pleural effusion. RVATS had a significantly greater median number of lymph node stations harvested and longer operative time. Although both groups achieved R0 resections in all patients, RVATS showed a greater negative tumor margin distance compared with VATS. There was no significant difference in disease-free survival or overall survival between the 2 groups at 3 years.Conclusions: In our experience, RVATS showed a greater number of lymph node stations harvested and greater negative tumor margin distance without compromising perioperative and oncological outcomes for segmentectomy performed for NSCLC.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"265-271"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968662","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

Duration of Post-Hospital Discharge Opioids Affects Long-Term Physical Function and Pain Following Cardiac Surgery at a Community Hospital. 阿片类药物对社区医院心脏手术后长期身体功能和疼痛的影响

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-24 DOI: 10.1177/15569845251338858

Linda F Barr, Amanda Rea, Zach E Adams, Kate Knott, Rebecca Sandler, Rawn Salenger

引用次数: 0

Robotic Totally Endoscopic Beating Heart Off-Pump Coronary Bypass: Improvising Coronary Artery Stabilization Without the EndoWrist Stabilizer. 机器人全内窥镜心脏非泵式冠状动脉搭桥：无腕内稳定器的临时冠状动脉稳定。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-26 DOI: 10.1177/15569845251339158

Ghulam Murtaza, Nuh H Cheema, Jake Enz, Husam H Balkhy

引用次数: 0

24 ISMICS Annual Scientific Meeting. ISMICS年度科学会议。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-31 DOI: 10.1177/15569845241304055i

引用次数: 0

Branched Stented Anastomosis Frozen Elephant Trunk Repair (B-SAFER): A Versatile Approach to Simplify Arch Vessel Management in Total Arch Replacement. 支状支架吻合冷冻象鼻修复（B-SAFER）：一种简化全弓置换术中弓血管管理的通用方法。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-06-19 DOI: 10.1177/15569845251345822

Rohun Bhagat, Eric E Roselli

引用次数: 0

Commentary: The End of the Learning Curve Is the Beginning of Good Judgment. 评论：学习曲线的结束是良好判断的开始。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-23 DOI: 10.1177/15569845251337401

Nikolaos Bonaros, Can Gollmann-Tepeköylü, Daniel Höfer, Michael Grimm

引用次数: 0

Intermediate-Type Atrioventricular Septal Defect Repair With Atrioventricular Valve Annuloplasty via Minimally Invasive Approach. 微创房室间隔成形术修复中型房室间隔缺损。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-03-27 DOI: 10.1177/15569845251327373

Shengjie Liao, Zhen Wu, Xiaoshen Zhang

引用次数: 0

Robotic Totally Endoscopic Tricuspid Valve Surgery: Early Results and Midterm Outcomes. 机器人全内窥镜三尖瓣手术：早期结果和中期结果。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-03-27 DOI: 10.1177/15569845251326593

Riya Bhasin, Sarah Nisivaco, Douglas Rybar, Hiroto Kitahara, Husam H Balkhy

{"title":"Robotic Totally Endoscopic Tricuspid Valve Surgery: Early Results and Midterm Outcomes.","authors":"Riya Bhasin, Sarah Nisivaco, Douglas Rybar, Hiroto Kitahara, Husam H Balkhy","doi":"10.1177/15569845251326593","DOIUrl":"10.1177/15569845251326593","url":null,"abstract":"Objective: Although robotic cardiac surgery is becoming more widely adopted for mitral valve procedures, robot-assisted tricuspid valve (TV) surgery is less common. We describe clinical and echocardiographic outcomes for 70 isolated and concomitant TV repair (TVr) cases.Methods: Patients who underwent robotic totally endoscopic TV surgery at our institution were retrospectively reviewed. The da Vinci Si or Xi robot (Intuitive Surgical, Sunnyvale, CA, USA) was used for all cases, employing an 8 to 10 mm working port and using cardiopulmonary bypass on a beating heart. Early and midterm outcomes were reviewed, along with echocardiogram results when available.Results: Between 2014 and 2024, 70 patients underwent TVr. Fourteen cases were isolated TV procedures and 56 were concomitant with mitral surgery. The mean patient age was 67 ± 14.4 years, 57% were female, and 11 patients (16%) had previous heart surgery. TVr with an annuloplasty band occurred in 97% of patients, 1 patient had a tissue valve replacement, and there were no conversions to sternotomy. Early mortality occurred in 1 patient (1.4%) with an observed to expected ratio of 0.4. Early postoperative echocardiography revealed none to mild residual tricuspid regurgitation (TR) in 65 patients (93%). Clinical follow-up was completed in 97% of patients. All-cause mortality occurred in 14 patients (20%), 11 of which were noncardiac, including cancer, gastrointestinal bleed, end-stage renal disease, SARS-CoV-2 infection, and drug overdose. Follow-up echocardiography results were available for 46 patients (66%) at a mean of 45 months, showing moderate or more recurrent TR in 6 patients (9%).Conclusions: Robot-assisted totally endoscopic TV surgery, for both isolated and concomitant TV disease, is a safe and effective approach. The sternal-sparing nature allows for rapid recovery and positive midterm outcomes.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"188-193"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728561","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 Beating-Heart Tricuspid Valve Repair. 机器人心脏三尖瓣修复。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-03-27 DOI: 10.1177/15569845251326591

David Zapata, Kevin Ho, Douglas Tran

引用次数: 0

Totally Endoscopic Superior Venosus ASD Repair With a Modified Two-Patch Technique. 改良双补片技术的全内窥镜上静脉ASD修复。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-04-15 DOI: 10.1177/15569845251320630

Georgios Ntontos, Nikolaos Nikoloudakis, Theodora Zaglavara, Konstantinos Lolakos, Antonios Pitsis

引用次数: 0