Minimally Invasive Cardiac Surgery: Principle and Prospects

Matsuda, Hikaru

doi:10.1007/s005950050225

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…Another optional treatment of both disorders may be the combination of minimally invasive cardiac surgery and laparoscopic cholecystectomy. [18][19][20][21] Bacher et al 22 reported that an excessive intraoperative PaCO 2 increase could be prevented by modification of the ventilation procedure and that laparoscopic cholecystectomy was an advantageous technique in the patient with cardiopulmonary disease. In the very near future, this combination may become the standard treatment for these patients.…”

Section: Discussionmentioning

confidence: 99%

Management of cholelithiasis in combination with cardiovascular surgery

et al. 2000

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A retrospective review of the perioperative management of patients with cardiovascular surgical disorders and cholelithiasis was conducted, and the surgical strategies employed are discussed. Between 1988 and 1998, 18 patients having cardiovascular surgical disorders underwent cholecystectomy. These patients were divided into three groups: group I, given a one-stage operation (n = 9); group II, given a two-stage operation (n = 3); and group III, given cholecystectomy during follow-up after cardiovascular surgery (n = 6). In group I, a median laparotomy was adopted for patients with an abdominal aortic aneurysm (AAA) to allow both disorders to be treated through the same incision, whereas a right subcostal approach was employed to separate the incisions for patients who underwent cardiac operations. In group II, one patient underwent cholecystectomy before cardiac surgery, and two patients underwent cholecystectomy for postoperative cholecystitis after cardiovascular operations. One patient from group II and all from group III were on preoperative anticoagulant therapy, two of whom underwent laparoscopic cholecystectomy. No fatal complications such as prosthetic infection, intraperitoneal hemorrhage, or cerebral attack were encountered. In conclusion, we consider that performing cholecystectomy during AAA repair may be safe and prevents the risk of postoperative cholecystitis; it is preferable to treat cholelithiasis coexisting with cardiac disorders concomitantly with or before cardiac operations; and laparoscopic cholecystectomy can be safely performed under anticoagulant therapy.

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Section: Discussionmentioning

confidence: 99%

Management of cholelithiasis in combination with cardiovascular surgery

et al. 2000

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“…The main reason for this lies in the early discharge of patients through the progress of the clinical pathway 10 and minimally invasive surgery. 11 If the current DPC-based payment system is adopted by all general hospitals, surgical patients will be concentrated in major hospitals, which have the capacity to admit more patients, and other hospitals will be unable to guarantee the number of surgical admissions. In this situation, admitting more nonsurgical patients and not reducing the LOS would be favorable for small and medium-sized hospitals.…”

Section: Proper Management Of the Surgical Sector Under The Dpc-basedmentioning

confidence: 99%