JTCVS Techniques最新文献

{"title":"Technical evolution of totally endoscopic coronary artery bypass on the da Vinci Xi platform: Lessons learned from the first 84 cases","authors":"Gianluca Torregrossa MD,&nbsp;Massimo Baudo MD,&nbsp;Amanda Yakobitis PA,&nbsp;Dana Foley CRNP,&nbsp;Courtney Murray CRNP,&nbsp;Husam H. Balkhy MD","doi":"10.1016/j.xjtc.2026.102562","DOIUrl":"10.1016/j.xjtc.2026.102562","url":null,"abstract":"<div><h3>Objective</h3><div>Previous studies have shown the safety and effectiveness of totally endoscopic coronary artery bypass. We report our initial experience performing totally endoscopic coronary artery bypass using the da Vinci Xi platform without an EndoWrist stabilizer, combining the GelPOINT Mini, AirSeal, and Nuvo Stabilizer.</div></div><div><h3>Methods</h3><div>All consecutive patients undergoing totally endoscopic coronary artery bypass were included from January 2024 to December 2025 from our center. The primary end point was to evaluate sternotomy conversion rates. Secondary end points consisted of mortality and major adverse cardiac and cerebrovascular events.</div></div><div><h3>Results</h3><div>During the study period, 84 patients underwent totally endoscopic coronary artery bypass. The mean age and body mass index were 63.6 ± 10.5 years and 30 ± 4.6 kg/m², respectfully. The median left ventricular ejection fraction and hemoglobin A1c were 60.0% (58.0-65.0) and 5.7% (5.3-6.3), respectively. The median Society of Thoracic Surgeons score was 0.55 (0.35-0.86). Intraoperatively, the median left internal thoracic artery left anterior descending flow was 50.0 (40.0-61.5) mL/min. Thirty-one patients (36.9%) underwent totally endoscopic coronary artery bypass as part of a hybrid revascularization strategy, including 7 cases (8.3%) of reverse hybrid revascularization. Most patients (n = 52, 61.9%) were extubated in the operating room. There were no conversions to sternotomy, but 1 patient required reoperation for bleeding. Postoperatively, there were no strokes, myocardial infarctions, or deaths. The median hospital length of stay was 2.0 (1.0-3.0) days, and 98.8% (83/84) of patients were discharged directly home. At 30-day follow-up, there were no deaths.</div></div><div><h3>Conclusions</h3><div>This initial totally endoscopic coronary artery bypass experience enabled the identification of key technical challenges related to coronary stabilization, visualization, and suture management. The derived surgeon-driven solutions may guide future technology development and contribute to simplifying the procedure, improving reproducibility, and facilitating broader adoption of totally endoscopic coronary artery bypass.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102562"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096796","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":"Robotic tricuspid valve repair for infective endocarditis with leaflet perforation and severe tricuspid regurgitation","authors":"Shaan Asif MS,&nbsp;George Comas MD,&nbsp;Richard Bloomingdale MD,&nbsp;Rakesh M. Suri MD, DPhil","doi":"10.1016/j.xjtc.2026.102566","DOIUrl":"10.1016/j.xjtc.2026.102566","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102566"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096173","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":"Reverse double-switch operation as a salvage strategy for failing single-ventricle physiology","authors":"Yuta Hosoya MD,&nbsp;Ai Kojima MD,&nbsp;Yuichi Hanaoka MD,&nbsp;Kohei Kurosaki MD,&nbsp;Yuma Shibuya MD,&nbsp;Yohei Akazawa MD,&nbsp;Kota Takei MD,&nbsp;Kiyohiro Takigiku MD,&nbsp;Takeshi Konuma MD","doi":"10.1016/j.xjtc.2026.102577","DOIUrl":"10.1016/j.xjtc.2026.102577","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102577"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096367","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":"Posterior neo-annular reconstruction: An alternative approach to mitral valve replacement for caseous mitral annular calcification","authors":"Nika Samadzadeh Tabrizi MD,&nbsp;Shawn Shah MD, MBA,&nbsp;Gösta B. Pettersson MD, PhD,&nbsp;Marc Gillinov MD,&nbsp;Haytham Elgharably MD, PhD,&nbsp;Bo Xu MD,&nbsp;Serge Harb MD,&nbsp;Shinya Unai MD","doi":"10.1016/j.xjtc.2026.102558","DOIUrl":"10.1016/j.xjtc.2026.102558","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102558"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096784","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":"Functional pseudocoarctation after branched arch endograft implantation in a patient with previous type A aortic dissection repair","authors":"Veronica Lorenz MD,&nbsp;Luigi Muzzi MD,&nbsp;Eugenio Neri MD (Prof)","doi":"10.1016/j.xjtc.2026.102574","DOIUrl":"10.1016/j.xjtc.2026.102574","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102574"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096790","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":"Surgical thrombectomy with preservation of the bioprosthetic aortic valve in obstructive valve thrombosis during complex redo cardiac surgery","authors":"Shuto Nagase MD,&nbsp;Sho Kusadokoro MD,&nbsp;Mitsunori Nakano MD, PhD,&nbsp;Hiroko Hasegawa MD,&nbsp;Homare Okamura MD, PhD,&nbsp;Atsushi Yamaguchi MD, PhD","doi":"10.1016/j.xjtc.2026.102568","DOIUrl":"10.1016/j.xjtc.2026.102568","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102568"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096792","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":"Left thoracotomy for redo left ventricular pseudoaneurysm repair after ventricular septal rupture surgery","authors":"Hidekazu Nakai MD, PhD,&nbsp;Akitoshi Yamada MD, PhD,&nbsp;Ryo Thoma MD,&nbsp;Yoshihisa Morimoto MD, PhD","doi":"10.1016/j.xjtc.2026.102499","DOIUrl":"10.1016/j.xjtc.2026.102499","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102499"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096797","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":"Extended reality–assisted localization of lung nodules in a hybrid operating room: A prospective study","authors":"Chih-Hsiang Chang MD,&nbsp;Ning Chien MD,&nbsp;Hsien-Yuan Hsieh MS,&nbsp;Kuang-Chen Yen MD,&nbsp;Yu-An Zheng MD,&nbsp;Yi-Ching Lee MD,&nbsp;Yang-Sheng Chen PhD,&nbsp;Xu-Heng Chiang MD, PhD,&nbsp;Ping-Hsuan Han PhD,&nbsp;Mong-Wei Lin MD, PhD,&nbsp;Hsao-Hsun Hsu MD, PhD,&nbsp;Yi-Ping Hung PhD,&nbsp;Jin-Shing Chen MD, PhD","doi":"10.1016/j.xjtc.2026.102497","DOIUrl":"10.1016/j.xjtc.2026.102497","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the feasibility, accuracy, and safety of a novel extended reality–assisted percutaneous localization technique in a hybrid operating room for patients with small pulmonary nodules.</div></div><div><h3>Methods</h3><div>In this prospective, single-arm study, 20 adult patients scheduled for video-assisted thoracoscopic surgery sublobar resection for peripheral pulmonary nodules (2 cm or less) were enrolled. Participants underwent extended reality–guided percutaneous dye localization under general anesthesia. Patient-specific 3-dimensional holographic models were registered using optical markers to guide needle insertion, followed by confirmatory cone-beam computed tomography. The primary outcomes were technical accuracy and procedural safety.</div></div><div><h3>Results</h3><div>The extended reality–assisted technique achieved a 90% technical success rate. The mean localization error was 7.9 mm in the intention-to-treat population. The procedure was efficient, with a median localization time of 13.5 minutes and a median of 1 confirmatory cone-beam computed tomography scan. The complication rate was 5%, involving a single case of pneumothorax; no intrapulmonary hemorrhage or air embolism occurred.</div></div><div><h3>Conclusions</h3><div>Extended reality-assisted percutaneous localization in a hybrid operating room is feasible and safe, demonstrating acceptable accuracy for small pulmonary nodules. This approach may streamline surgical workflow by enabling continuous needle advancement and reducing repetitive interruptions compared with conventional cone-beam computed tomography guidance.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102497"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096803","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":"Wedge neocarina modification of the Miyamoto technique for extended carinal reconstruction","authors":"Ichiro Yoshino MD, PhD,&nbsp;Yuichi Sakairi MD, PhD,&nbsp;Kazuhisa Tanaka MD, PhD,&nbsp;Hidemi Suzuki MD, PhD","doi":"10.1016/j.xjtc.2026.102510","DOIUrl":"10.1016/j.xjtc.2026.102510","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102510"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096804","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":"Modified endocardial linear infarct exclusion technique for congenital left ventricular aneurysm in a neonate: A feasible surgical option","authors":"Yusuke Ando MD, PhD,&nbsp;Kunihiko Joo MD,&nbsp;Hiromichi Sonoda MD, PhD,&nbsp;Tatsushi Onzuka MD, PhD,&nbsp;Tomoki Ushijima MD, PhD,&nbsp;Hirofumi Onitsuka MD,&nbsp;Hikaru Uchiyama MD,&nbsp;Akira Shiose MD, PhD","doi":"10.1016/j.xjtc.2026.102487","DOIUrl":"10.1016/j.xjtc.2026.102487","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102487"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149095536","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}