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Robotic-assisted removal of a large thymoma. 机器人辅助切除大胸腺瘤。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-16 DOI: 10.1510/mmcts.2025.046
Jamie Romeo, Florit Marcuse, Monique Hochstenbag, Myrurgia Abdul Hamid, Hester Gietema, Ulrich Ljalji, Jos Maessen
{"title":"Robotic-assisted removal of a large thymoma.","authors":"Jamie Romeo, Florit Marcuse, Monique Hochstenbag, Myrurgia Abdul Hamid, Hester Gietema, Ulrich Ljalji, Jos Maessen","doi":"10.1510/mmcts.2025.046","DOIUrl":"https://doi.org/10.1510/mmcts.2025.046","url":null,"abstract":"<p><p>An anterior mediastinal mass can comprise a wide variety of benign and malignant tumours that can present with diverse clinical symptoms. Diagnosis often requires multiple imaging modalities along with laboratory tests and, in specific cases, tissue biopsies. Upfront tumour resection is often preferred in cases with a substantial suspicion of malignancy whenever complete resection is deemed possible. We present a relatively common case of a substantial anterior mediastinal mass with a high suspicion of thymoma in a 73-year-old male patient without myasthenia gravis. Based on his computed tomography scan, a 3-dimensional model was built. Upfront resection without neo-adjuvant therapy was deemed feasible and therefore preferable. A DaVinci robot-assisted 3-port resection of the tumour was performed from the patient's left side. The intra- and postoperative courses were uneventful, after which the patient was discharged home on postoperative day 3.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303572","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
Bicuspid valve-sparing aortic root replacement with the remodelling procedure. 保留双尖瓣的主动脉根部置换术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-16 DOI: 10.1510/mmcts.2025.043
Seif Elmankabadi, Patrick Hoang, Elaine E Tseng, Marko T Boskovski
{"title":"Bicuspid valve-sparing aortic root replacement with the remodelling procedure.","authors":"Seif Elmankabadi, Patrick Hoang, Elaine E Tseng, Marko T Boskovski","doi":"10.1510/mmcts.2025.043","DOIUrl":"10.1510/mmcts.2025.043","url":null,"abstract":"<p><p>We present a case of a young male with severe aortic regurgitation and an aortic root aneurysm who underwent a valve-sparing aortic root replacement using a remodelling technique with annuloplasty, and bicuspid aortic valve repair.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303571","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
Segmentectomies Made Easy Series: robotic-assisted left S8 segmentectomy. 节段切除术Made Easy系列：机器人辅助左S8节段切除术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-04 DOI: 10.1510/mmcts.2025.056
Zakariya Mouyer, Aishah Zubaid Mughal, Ayyoub Elfiky, Ahmed M Habib
{"title":"Segmentectomies Made Easy Series: robotic-assisted left S8 segmentectomy.","authors":"Zakariya Mouyer, Aishah Zubaid Mughal, Ayyoub Elfiky, Ahmed M Habib","doi":"10.1510/mmcts.2025.056","DOIUrl":"10.1510/mmcts.2025.056","url":null,"abstract":"<p><p>Robotic-assisted thoracic surgery is increasingly recognized for its utility in complex pulmonary resections, offering enhanced dexterity, superior 3-dimensional visualization and precise, 'tremor-free' tissue manipulation. Compared to open thoracotomy, minimally invasive robotic techniques are associated with reduced perioperative morbidity, shorter hospital stays and faster recovery. Sublobar lung resections, however, remain technically demanding, especially in the deep anatomical segments such as S8. Three-dimensional reconstructive imaging provides detailed preoperative visualization of the pulmonary anatomy, allowing for precise surgical planning and identification of individual bronchovascular structures. Despite its advantages, the integration of virtual 3-dimensional imaging into routine thoracic practice remains limited and under-reported in the literature. This video tutorial contributes to a growing video atlas series on robotic segmentectomy guided by high-resolution three-dimensional reconstruction. We demonstrate a robotic-assisted left S8 segmentectomy for a deep pulmonary metastasis, where three-dimensional reconstruction enabled identification of an alternative, 'parenchyma-sparing' approach via the inferior pulmonary vein. This video tutorial provides a step-by-step guide, from port placement to segmental dissection and resection, illustrating how advanced imaging technologies can enhance anatomical precision and optimize outcomes in robotic segmental lung surgery.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217515","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
Modified percutaneous decannulation technique in veno-arterial extracorporeal membrane oxygenation. 改良经皮静脉-动脉体外膜氧合脱管技术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-03 DOI: 10.1510/mmcts.2025.049
Daisuke Kaneyuki, Yuji Kaku, Makoto Mori, Hiroo Takayama, Koji Takeda
{"title":"Modified percutaneous decannulation technique in veno-arterial extracorporeal membrane oxygenation.","authors":"Daisuke Kaneyuki, Yuji Kaku, Makoto Mori, Hiroo Takayama, Koji Takeda","doi":"10.1510/mmcts.2025.049","DOIUrl":"10.1510/mmcts.2025.049","url":null,"abstract":"<p><p>We present an enhanced percutaneous decannulation technique for a patient undergoing veno-arterial extracorporeal membrane oxygenation. This innovative approach uses two distinct percutaneous vascular devices, offering a more reliable and more effective method for decannulation.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210135","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
Aortic valve replacement, atrial fibrillation box ablation and left appendage clipping through a ministernotomy. 主动脉瓣置换术，心房颤动盒消融术以及左附件切开切开术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-03 DOI: 10.1510/mmcts.2025.038
Sherif Negm, Bruno Chiarello, Brayan Rubio, Gustavo Woll, Manuel Castellà
{"title":"Aortic valve replacement, atrial fibrillation box ablation and left appendage clipping through a ministernotomy.","authors":"Sherif Negm, Bruno Chiarello, Brayan Rubio, Gustavo Woll, Manuel Castellà","doi":"10.1510/mmcts.2025.038","DOIUrl":"10.1510/mmcts.2025.038","url":null,"abstract":"<p><p>Surgical isolation of left atrial posterior wall (box lesion) with left atrial appendage closure are good options for treating patients with atrial fibrillation concomitant with another cardiac surgical procedure in case we prefer not to open the left atrium. We describe a full box ablation, left atrial appendage closure and aortic valve replacement through a J-shaped ministernotomy through the fourth intercostal space. The box lesion ablation is performed using the Isolator Synergy and Bipolar RF Ablation Clamp with the jaws placed in the oblique and transverse sinuses from the right side. The left appendage is excluded and electrically isolated with the AtriClip Flex-V; the aortic valve is replaced by a sutureless Perceval bioprosthesis. This technique allows us to perform a complete box lesion and left atrial appendage  closure easily for patients with paroxysmal or persistent atrial fibrillation in which we do not open the left atrium, such as those with aortic valve surgery and/or coronary artery bypass grafting.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303570","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
Tracheobronchoplasty via a right posterolateral thoracotomy. 右后外侧开胸气管支气管成形术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-03 DOI: 10.1510/mmcts.2025.042
Yuriy Stukov, Matheus Falasa, Karen Redmond, Jeffrey P Jacobs, Mindaugas Rackauskas, Mohamad Aladaileh
{"title":"Tracheobronchoplasty via a right posterolateral thoracotomy.","authors":"Yuriy Stukov, Matheus Falasa, Karen Redmond, Jeffrey P Jacobs, Mindaugas Rackauskas, Mohamad Aladaileh","doi":"10.1510/mmcts.2025.042","DOIUrl":"10.1510/mmcts.2025.042","url":null,"abstract":"<p><p>Tracheobronchomalacia is a condition of dynamic airway collapse due to weakness of the tracheobronchial wall. When conservative management, including continuous positive airway pressure, fails to control symptoms or improve quality of life, surgical intervention may be warranted. In this case report, we present a surgical technique of tracheobronchoplasty via the right posterolateral thoracotomy in a patient with severe tracheobronchomalacia.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210137","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
Video-assisted thoracoscopic excision of a bronchogenic cyst with a pericardial defect and an aortic feeding artery. 胸腔镜下支气管源性囊肿伴心包缺损及主动脉供血动脉切除术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-03 DOI: 10.1510/mmcts.2025.047
Mohan Pulle, Sukhram Bishnoi, Harsh Puri, Belal Asaf, Sumit Bangeria, Arvind Kumar
{"title":"Video-assisted thoracoscopic excision of a bronchogenic cyst with a pericardial defect and an aortic feeding artery.","authors":"Mohan Pulle, Sukhram Bishnoi, Harsh Puri, Belal Asaf, Sumit Bangeria, Arvind Kumar","doi":"10.1510/mmcts.2025.047","DOIUrl":"10.1510/mmcts.2025.047","url":null,"abstract":"<p><p>Bronchogenic cysts are rare congenital foregut anomalies, often detected incidentally. We report the case of a 24-year-old female who was incidentally detected during a routine health check-up to have a mediastinal mass. Preoperative chest computed tomography imaging suggested a benign bronchogenic cyst. Minimally invasive video-assisted thoracoscopic surgery was planned for its excision. Intraoperatively, a pericardial defect and a feeding artery arising from the aortic arch were noted. The patient recovered uneventfully and was discharged on postoperative day 3. This case demonstrates the utility of video-assisted thoracoscopic surgery in the excision of bronchogenic cysts, in the presence of these intraoperative findings with the advantages of less surgical trauma and faster recovery.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210139","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-assisted, minimally invasive direct coronary artery bypass-preparation, conduit harvest and execution. 机器人辅助，微创直接冠状动脉旁路准备，导管采集和执行。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-03 DOI: 10.1510/mmcts.2025.045
Michael Catalano, John Kelly, Amit Iyengar, Katherine Hilliard, Daniel Dymond, Wilson Y Szeto, Chase R Brown
{"title":"Robotic-assisted, minimally invasive direct coronary artery bypass-preparation, conduit harvest and execution.","authors":"Michael Catalano, John Kelly, Amit Iyengar, Katherine Hilliard, Daniel Dymond, Wilson Y Szeto, Chase R Brown","doi":"10.1510/mmcts.2025.045","DOIUrl":"10.1510/mmcts.2025.045","url":null,"abstract":"<p><p>Robotic-assisted, minimally invasive direct coronary artery bypass is a surgical technique that involves robotic-assisted harvest of the left internal mammary artery, small left-anterior thoracotomy and minimally invasive, off-pump, direct left internal mammary artery to left anterior descending artery anastomosis. It is indicated in the setting of proximal or diffuse single-vessel left anterior descending artery disease, chronic total occlusion of the left anterior descending artery or a hybrid approach to revascularization in combination with percutaneous treatment of other lesions. Benefits include avoidance of sternotomy and rapid recovery, particularly in medically complex patients, while achieving the survival benefit associated with a left internal mammary artery-left anterior descending artery anastomosis. Although there is an initial learning curve for surgeons, an understanding of positioning and exposure techniques can minimize early challenges. We present a step-by-step video tutorial of robotic-assisted, minimally invasive direct coronary artery bypass, including patient positioning, robotic port orientation, analgesic and local anaesthetic strategies, conduit harvest and anastomotic technique.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210136","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
Internal patch repair of an acute left ventricular pseudoaneurysm. 急性左心室假性动脉瘤的内补片修复。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-03 DOI: 10.1510/mmcts.2025.033
Stephen M Spindel, Yasmine Rifai, John Skendelas, Brandon Ferrell
{"title":"Internal patch repair of an acute left ventricular pseudoaneurysm.","authors":"Stephen M Spindel, Yasmine Rifai, John Skendelas, Brandon Ferrell","doi":"10.1510/mmcts.2025.033","DOIUrl":"10.1510/mmcts.2025.033","url":null,"abstract":"<p><p>Left ventricular pseudoaneurysms are rare but serious mechanical complications of acute myocardial infarction. These defects are most often approached surgically, though there are insufficient data supporting certain surgical techniques over others. In this video tutorial, we demonstrate the surgical repair of a large left ventricular pseudoaneurysm in a patient who presented two weeks after an acute myocardial infarction. The patient underwent a transatrial endoventricular patch repair with mitral valve replacement and was weaned off cardiopulmonary bypass without the need for additional mechanical circulatory support. She recovered uneventfully and was discharged home.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210134","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
Transcervical tracheal resection. 经颈气管切除术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-03 DOI: 10.1510/mmcts.2025.041
Yuriy Stukov, Ahmet Bilgili, Karen Redmond, Jeffrey P Jacobs, Mindaugas Rackauskas, Mohamad Aladaileh
{"title":"Transcervical tracheal resection.","authors":"Yuriy Stukov, Ahmet Bilgili, Karen Redmond, Jeffrey P Jacobs, Mindaugas Rackauskas, Mohamad Aladaileh","doi":"10.1510/mmcts.2025.041","DOIUrl":"10.1510/mmcts.2025.041","url":null,"abstract":"<p><p>Postintubation subglottic tracheal stenosis remains a prevalent complication in patients who require prolonged periods of intubation, with an incidence of up to 11%. Transcervical tracheal resection and reconstruction remain the gold standards for definitive treatment of stenotic regions that fail trials of non-surgical interventions, including local steroid injections, cryotherapy and balloon dilation. Despite its high success rate, it is one of the more technically difficult procedures in thoracic surgery. In this case report, we document our approach to a patient with severe symptomatic tracheal stenosis operatively managed with meticulous dissection utilizing a low collar incision, transcervical tracheal resection and a primary anastomosis.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210138","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
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