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

{"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":"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}

{"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":1.7,"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":"ISMICS 2025 Presidential Address: Patience, Passion, and Persistence in the Pursuit of Robotic Cardiac Surgery.","authors":"Husam H Balkhy","doi":"10.1177/15569845261424255","DOIUrl":"10.1177/15569845261424255","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"22-27"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147305261","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":"Axillary Versus Sternotomy Access in Minimally Invasive Mitral Valve Surgery: A Systematic Review and Meta-Analysis.","authors":"Abdullah Almehandi, Mohammed Ramadhan, Yahya Ali, Abdulaziz Almhanedi, Abdulrahman Osama Al-Naseem, Ahmad Gonnah, Ahmad Awad, Johannes Fischer, Hristo Kirov, Torsten Doenst, Rakan I Nazer, Tulio Caldonazo","doi":"10.1177/15569845251400765","DOIUrl":"10.1177/15569845251400765","url":null,"abstract":"<p><strong>Objective: </strong>Minimally invasive cardiac surgery for mitral valve (MV) disease is a rising strategy. Axillary access is linked to reduced pain and faster recovery, but its efficacy and safety compared with median sternotomy for MV surgery (MVS) remain unclear. We conducted a meta-analysis comparing the clinical outcomes of MVS via axillary access and median sternotomy.</p><p><strong>Methods: </strong>Four databases were analyzed. The primary endpoint was perioperative mortality. Secondary endpoints included cardiopulmonary bypass (CPB) and cross-clamp times, rethoracotomy, wound complications, mechanical ventilation duration, stroke, hospital and intensive care unit (ICU) stay, and residual moderate mitral regurgitation. A random-effects model was used.</p><p><strong>Results: </strong>We included 2,129 patients from 4 studies, with 1,135 (53.3%) undergoing axillary access. Perioperative mortality was comparable between approaches (odds ratio [OR] = 0.34, 95% confidence interval [CI]: 0.09 to 1.23, <i>P</i> = 0.10). Axillary access was associated with longer CPB times (mean difference [MD] = 16.38, 95% CI: 6.42 to 26.34, <i>P</i> = 0.001), fewer wound complications (OR = 0.41, 95% CI: 0.21 to 0.80, <i>P</i> = 0.009), shorter ventilation time (MD = -4.93, 95% CI: -8.79 to -1.08, <i>P</i> < 0.01), and shorter hospital (MD = -0.78, 95% CI: -1.41 to -0.14, <i>P</i> = 0.02) and ICU stays (MD = -10.84, 95% CI: -19.54 to -2.14, <i>P</i> = 0.01). No difference was found in cross-clamp time, rethoracotomy, stroke, or residual mitral regurgitation.</p><p><strong>Conclusions: </strong>Axillary access for MVS shows comparable mortality to median sternotomy, with benefits in wound complications, ventilation, and recovery but longer CPB times. Further research is needed to confirm long-term safety and efficacy.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"28-36"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146062691","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":"Three-Dimensional Deformations of Pulmonary Collapse for Intraoperative Augmented Reality Guidance: A Proof-of-Concept Study.","authors":"Jette J Peek, Tjerko Kieft, Rahi S Alipour Symakani, Amir H Sadeghi, Mathieu M E Wijffels, Esther M M Van Lieshout, Ad J J C Bogers, Edris A F Mahtab","doi":"10.1177/15569845251401314","DOIUrl":"10.1177/15569845251401314","url":null,"abstract":"<p><strong>Objective: </strong>During pulmonary surgery, the lung is deflated to facilitate the procedure. This study aimed to assess the deformation of the bronchial tree and pulmonary parenchyma during lung collapse, for eventual use in augmented reality (AR) guidance during pulmonary resections.</p><p><strong>Methods: </strong>The concept was first tested in 2 porcine models by analyzing paired computed tomography scans of collapsed and inflated lungs, then applied to 6 human patients. Bronchus and parenchyma were segmented, and a bronchus centerline was calculated. The diameter, length differences, angular deformations, and volume differences of the parenchyma were calculated. Finally, these deformations were applied on the inflated bronchus centerline to generate an artificially collapsed bronchus.</p><p><strong>Results: </strong>In both the porcine and human models, the pulmonary collapse resulted in substantial volumetric and anatomical changes. For the humans, the right lung showed a median displacement of 14.41 mm in the dorsomedial direction, while the left lung was displaced 11.99 mm in the dorsolateral direction (<i>P</i> = 0.79). Median volume reduction was 970 mL for the right lung and 878 mL for the left lung. Bronchial narrowing was observed, with a median diameter reduction of 0.14 mm for the right lung and 1.23 mm for the left lung. Moreover, the lengths of the bronchial segments were reduced, with a median length reduction of 0.20 mm for the right sided and 0.72 mm for the left sided.</p><p><strong>Conclusions: </strong>Algorithmically driven calculations of the intraoperative pulmonary collapse of human and porcine lungs were performed and applied onto an inspirated bronchus. This resulted in an artificial collapsed bronchus. This method could be a foundation for a dynamical deformable deflation model, suitable for intraoperative AR-based pulmonary navigation.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"37-47"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100189","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":"The Future of Coronary Bypass? A Novel Simulator for Robotic Beating-Heart TECAB Training.","authors":"Yazan N AlJamal, Juan Crestanello, Joseph Dearani, Husam H Balkhy","doi":"10.1177/15569845251408006","DOIUrl":"10.1177/15569845251408006","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"94-95"},"PeriodicalIF":1.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105425","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}