Minimally invasive cardiac surgery: A systematic review and meta-analysis

Dieberg, Gudrun; Smart, Neil A.; King, Nicola

doi:10.1016/j.ijcard.2016.08.227

Cited by 66 publications

(39 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To increase success rates, improve cosmetic results, and reduce surgical traumas, minimally invasive cardiac surgery has been increasingly applied in the treatment of VSDs, and the number of relevant literatures is increasing [1, 5]. Minimally invasive cardiac surgical techniques usually include the right anterior lateral minimal incision, right axillary minimal incision, and lower sternal minimal incision [6, 19, 20].…”

Section: Discussionmentioning

confidence: 99%

“…However, though interventional occlusion has been extensively applied in the treatment of perimembranous and muscular VSDs, some controversies exist in its application due to its complexity and its potential to damage the aortic valve; thus its application to some extent has been limited [3]. By contrast, minimally invasive cardiac surgery has been increasingly applied to adult coronary revascularization, valvular surgery and congenital heart disease, especially in recent decades [5]. Minimally invasive cardiac surgery includes two primary accesses, right mini-thoracotomy and lower partial sternotomy [4, 6].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Minimally access via left anterior mini-thoracotomy for repair of adult subarterial ventricular septal defects

Liao

Long

Zhu

et al. 2017

J Cardiothorac Surg

View full text Add to dashboard Cite

BackgroundMinimally invasive cardiac surgical techniques are increasingly applied in the treatment and management of a variety of adult ventricular septal defects (VSDs). However, repair of adult subarterial VSDs via left anterior mini-thoracotomy is rarely reported. The present study aimed to determine the feasibility and safety of the left anterior mini-thoracotomy for the repair of adult subarterial VSDs.MethodsTwenty-seven adult patients underwent repair of subarterial VSDs via left anterior mini-thoracotomy. The approach includes two options for skin incision access, longitudinal and transverse skin incisions. The skin incision length was 4.1–6.1 cm (mean, 5.1 ± 0.6 cm). The closure of the VSDs was obtained through the main pulmonary artery under direct visualization.ResultsSuccessful repair of the defects was achieved in all the patients. No patients died or converted to median sternotomy. Average durations of cardiopulmonary bypass (CPB) and aortic cross-clamp were 102.5 ± 13.6 min (range, 85–127 min) and 54.6 ± 6.9 min (range, 45–66 min), respectively. No patients required blood transfusion. The average postoperative hospital stay was 5.1 ± 0.7 days (range, 4–6 days). There were no postoperative complications related to the operative procedures or peripheral cannulation. During the follow-up of 5.4–32.3 months, no patients were found to have residual shunt, wound infections, pericardial effusion, neurologic or other complications.ConclusionOur experiences demonstrate that minimally invasive cardiac surgical technique via left anterior mini-thoracotomy can be served as a novel, feasible and safe alternative for the repair of adult subarterial VSDs.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Minimally access via left anterior mini-thoracotomy for repair of adult subarterial ventricular septal defects

Liao

Long

Zhu

et al. 2017

J Cardiothorac Surg

View full text Add to dashboard Cite

show abstract

“…MIDCAB comprises high efficacy of surgical revascularization combined with a minimal traumatic approach due to the use of anterolateral thoracotomy or endoscopy (endoscopic atraumatic coronary artery bypass grafting [EACAB]) for left internal mammary artery (LITA) harvest and anterolateral thoracotomy for suturing the anastomosis. It results in the avoidance of sternotomy, reduction of wound diameter, improved healing and faster recovery [2,3]. Current guidelines for the use of MIDCAB are limited.…”

Section: Introductionmentioning

confidence: 99%

Short and long-term results of endoscopic atraumatic coronary artery off-pump bypass grafting in patients with left anterior descending artery stenosis

et al. 2021

View full text Add to dashboard Cite

show abstract

“…In recent years, the application of minimally invasive interventional therapy in cardiothoracic, orthopedics, vascular, and other operations has been received extensive attention with the increasing risk control requirements in clinical surgery. [1][2][3][4][5] Compared with traditional large incision or open surgery, the minimally invasive interventional surgery has the advantages of less side effects, less trauma, faster recovery, and stronger targetability. 6,7 As a typical minimally invasive interventional surgery, percutaneous puncture is widely applied in occasions like human-tissue biopsy or directed drug treatment.…”

Section: Introductionmentioning

confidence: 99%

Lesion positioning method of a CT‐guided surgical robotic system for minimally invasive percutaneous lung

Zhang

Wang

et al. 2020

Robotics Computer Surgery

View full text Add to dashboard Cite

Background Robot‐assisted puncture has gradually attracted more attention and practical clinical application. The lesion positioning and the needle positioning are the basis to ensure the accuracy of puncture and the key techniques in insertion operation. Methods A lesion positioning method is established which is realized only by the robot‐CT system without using external positioning system, and an omnidirectional needle positioning method is also developed and realized by using VRCM, in order to make the puncture needle always keep pointing to the lesion point. A CT‐guided surgical robotic system used for minimally invasive percutaneous lung is designed and the physical prototype is manufactured, to perform in‐vitro experiments, thereby to validate the effectiveness of the lesion positioning method and the feasibility of omnidirectional needle positioning method. Results The accuracy of established lesion positioning method based on three non‐collinear markers is within 3 mm, which is similar to that of the least squares method based on the five non‐coplanar markers, but the positioning efficiency can be improved by about 40%, and the non‐collinearity of markers is easier to be satisfied than non‐coplanarity in practical applications. The average calculation error of the established positioning method is 0.997 mm. Moreover, the omnidirectional positioning of the puncture needle under the designed surgical robot is feasible. Conclusions The designed surgical robot has good control accuracy and it can satisfy the requirements for use. The established lesion positioning method can provide a good precision basis for robot‐assisted puncture surgery. The suitable insertion point and insertion posture can be determined by the developed omnidirectional needle positioning method. This study can provide theoretical reference for further study of path planning or autonomous positioning.

show abstract

Minimally invasive cardiac surgery: A systematic review and meta-analysis

Abstract: Minimally invasive cardiac surgery is as safe as conventional surgery and could reduce costs due to a shorter period spent in ICU.

Cited by 66 publications

References 22 publications

Minimally access via left anterior mini-thoracotomy for repair of adult subarterial ventricular septal defects

Minimally access via left anterior mini-thoracotomy for repair of adult subarterial ventricular septal defects

Short and long-term results of endoscopic atraumatic coronary artery off-pump bypass grafting in patients with left anterior descending artery stenosis

Lesion positioning method of a CT‐guided surgical robotic system for minimally invasive percutaneous lung

Contact Info

Product

Resources

About