Journal of visualized surgery最新文献_第3页

Successful aortic valve-sparing procedure for an aortic root aneurysm associated with a congenital defect of the right sinus of Valsalva—a case report 主动脉根部动脉瘤合并先天性右瓣膜窦缺损的保留主动脉瓣手术成功一例报告

Journal of visualized surgery Pub Date : 2023-09-01 DOI: 10.21037/jovs-23-11

Pablo Filippa, Vincent Chauvette, Philippe Demers

引用次数: 0

Video-assisted thoracoscopic left S8 segmentectomy guided by pre-operative 3D reconstruction in a patient with synchronous bilateral primary lung cancer: a case report 术前三维重建引导下电视胸腔镜左S8节段切除同步双侧原发性肺癌1例

Journal of visualized surgery Pub Date : 2023-09-01 DOI: 10.21037/jovs-23-19

Boon-Hean Ong

引用次数: 0

Robotically-assisted mitral valve repair—chordal replacement with Gore-Tex loops 机器人辅助二尖瓣修复- Gore-Tex环索置换术

Journal of visualized surgery Pub Date : 2023-09-01 DOI: 10.21037/jovs-23-20

John Massey, Kenneth Palmer, Omar Al-Rawi, Tim Ridgway, Paul Modi

{"title":"Robotically-assisted mitral valve repair—chordal replacement with Gore-Tex loops","authors":"John Massey, Kenneth Palmer, Omar Al-Rawi, Tim Ridgway, Paul Modi","doi":"10.21037/jovs-23-20","DOIUrl":"https://doi.org/10.21037/jovs-23-20","url":null,"abstract":": The loop technique, devised by Mohr (Leipzig, Germany) almost 25 years ago, eliminated the risk of knot slippage when tying Gore-Tex neochords, and its use has become widespread in video-assisted ‘mini mitral’ valve repair, especially in Europe. It facilitates both simple and complex mitral valve reconstruction of all aetiologies with favourable valve haemodynamics (lower transmitral gradient and larger orifice area compared to leaflet resection), a low rate of recurrent mitral regurgitation and very durable long-term results. However, there is a paucity of data in the surgical literature about the use of Gore-Tex loops in robotic mitral valve repair, including modified techniques to measure the length of the loops in the totally endoscopic environment. It is also a common misconception that once the loop length is chosen, it cannot be altered whereas in reality fine tuning of the ‘effective loop length’ with millimetre levels of accuracy allows perfect symmetry of the valve closure line to be achieved. We report our techniques for using Gore-Tex loops during robotic mitral valve surgery with particular emphasis on length measurement and adjustment. The greater use of the loop technique in robotic mitral valve repair will hopefully allow patients with increasingly complex valves to benefit from totally endoscopic surgery.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"2012 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134916561","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

Valve-in-valve transcatheter aortic valve replacement for the degenerated rapid deployment PercevalTM prosthesis: technical considerations 经导管瓣中瓣主动脉瓣置换术治疗退化性快速部署PercevalTM假体:技术考虑

Journal of visualized surgery Pub Date : 2023-09-01 DOI: 10.21037/jovs-23-28

Christophe Dubois, Lennert Minten, Marie Lamberigts, Pierluigi Lesizza, Steven Jacobs, Tom Adriaenssens, Peter Verbrugghe, Bart Meuris

{"title":"Valve-in-valve transcatheter aortic valve replacement for the degenerated rapid deployment PercevalTM prosthesis: technical considerations","authors":"Christophe Dubois, Lennert Minten, Marie Lamberigts, Pierluigi Lesizza, Steven Jacobs, Tom Adriaenssens, Peter Verbrugghe, Bart Meuris","doi":"10.21037/jovs-23-28","DOIUrl":"https://doi.org/10.21037/jovs-23-28","url":null,"abstract":": Rapid deployment aortic valve prostheses or “sutureless valves” (SV) present a favorable hemodynamic and clinical safety profile but remain sensitive to structural valve degeneration (SVD) leading to valve dysfunction. In patients with SVD, valve-in-valve transcatheter aortic valve replacement (ViV TAVR) has become the preferred approach because of its high procedural success rate and the inherent risk of redo-surgery in an often-elderly population. However, careful consideration of anatomical characteristics and features of the surgical prosthesis is needed to assess feasibility of the ViV procedure, including meticulous attention to avoid coronary obstruction, device malpositioning, and high residual transprosthetic gradients. We systematically describe technical considerations for the transcatheter treatment of failing PercevalTM SV. By design, PercevalTM has the potential to serve as an ideal docking station for a transcatheter ViV procedure, offering a clearly visible radiopaque frame, circumferential expansion capabilities, and a low risk of coronary obstruction and sinus sequestration. We describe procedural tips and tricks and provide our own case experience. In a series of 784 PercevalTM implants, incidence rate of severe SVD was 0.54% per patient year (15 patients), of which only 9 were scheduled for and underwent successful ViV TAVR. Treatment resulted in all patients in clinical improvement and significant reduction of transprosthetic gradients and no residual aortic valve regurgitation.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"168 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134916538","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

Resection of a micronodular thymoma with lymphoid stroma achieved by robot-assisted thoracic surgery (RATS): a case report 机器人辅助胸外科手术(RATS)切除小结节胸腺瘤伴淋巴样间质1例

Journal of visualized surgery Pub Date : 2023-09-01 DOI: 10.21037/jovs-23-16

Marlène Schnider, Teodor Svantesson, Luís Filipe Azenha, Peter Kestenholz, Fabrizio Minervini

引用次数: 0

Robotic bronchoscopy for diagnosis of lung nodules using the Ion system: a narrative review of the technical aspects and advantages over standard flexible bronchoscopy with electromagnetic navigation 使用离子系统诊断肺结节的机器人支气管镜:技术方面的叙述性回顾和优于标准电磁导航柔性支气管镜的优势

Journal of visualized surgery Pub Date : 2023-09-01 DOI: 10.21037/jovs-21-51

Sohini Ghosh, Samir Patel

{"title":"Robotic bronchoscopy for diagnosis of lung nodules using the Ion system: a narrative review of the technical aspects and advantages over standard flexible bronchoscopy with electromagnetic navigation","authors":"Sohini Ghosh, Samir Patel","doi":"10.21037/jovs-21-51","DOIUrl":"https://doi.org/10.21037/jovs-21-51","url":null,"abstract":"Background and Objective: With the increasing volumes of computed tomography (CT) done in daily practice, there is an ever-increasing role for diagnostic bronchoscopy in sampling peripheral lung nodules. The past twenty years have led to significant advances in electromagnetic navigation systems and are dominated by the superDimension™ system (Medtronic, Minneapolis, MN, USA) and the Veran® SPiN system (Veran Medical Technologies, St. Louis, MO, USA). Their yield in available studies is as low as 33% when used without other localization systems. In 2019, two robotic systems were approved: the Monarch® (Auris Health, Redwood City, CA, USA) which utilizes electromagnetic navigation and the Ion™ (Intuitive Medical, Sunnyvale, CA, USA) which uses shape-sensing technology. When comparing the Ion™ to traditional electromagnetic navigation there are many advantages including small catheter (i.e., bronchoscope) size, ability to lock catheter in place, and integration with other localization systems. While preliminary data is suggestive of an improved yield, data remains limited. This review will provide a brief history of bronchoscopy using electromagnetic navigation and discuss the differences when compared to the Ion™ robotic bronchoscope.","PeriodicalId":17587,"journal":{"name":"Journal of visualized surgery","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134916781","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

Subcostal uniportal video-assisted thoracoscopic resection of a pulmonary nodule using a diode laser: a case report 肋下单门电视胸腔镜下二极管激光肺结节切除术1例

Journal of visualized surgery Pub Date : 2023-05-01 DOI: 10.21037/jovs-21-55

Volkan Kösek, Burkhard Thiel, Eyad Al Masri, Ulukan Cenal, Nezar Abuagrab, Bassam Redwan

引用次数: 0

The evolution of tracheobronchoplasty. 气管支气管成形术的发展。

Journal of visualized surgery Pub Date : 2022-01-01 DOI: 10.21037/jovs-21-69

Charles T Bakhos, Abbas E Abbas

引用次数: 0

Robotic substernal esophageal bypass and reconstruction with gastric conduit-frequently overlooked minimally invasive option. 机器人胸骨下食管旁路术和胃导管重建术--经常被忽视的微创选择。

Journal of visualized surgery Pub Date : 2019-05-01 Epub Date: 2019-05-07 DOI: 10.21037/jovs.2019.04.02

Roman V Petrov, Charles T Bakhos, Abbas E Abbas

引用次数: 0

Endovascular repair of ascending aorta pseudoaneurysm. 升主动脉假性动脉瘤的血管内修复。

Journal of visualized surgery Pub Date : 2018-05-31 eCollection Date: 2018-01-01 DOI: 10.21037/jovs.2018.05.15

Luca Di Marco, Luigi Lovato, Giacomo Murana, Ciro Amodio, Francesco Buia, Roberto Di Bartolomeo, Davide Pacini

引用次数: 3