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A Single Center Initial Experience with Robotic-Assisted Minimally Invasive Coronary Artery Bypass Surgery
Antonio Piperata1, Olivier Busuttil1, Jean-Luc Jansens2
1Department of Cardiology and Cardio-Vascular Surgery, Hopital Cardiologique de Haut-Leveque, Bordeaux University Hospital, 33604 Pessac, France.
Journal of Personalized Medicine
|November 24, 2022
Summary
This study shows a new hybrid approach combining robotic left internal mammary artery (LIMA) harvesting and minimally invasive direct coronary artery bypass grafting (MIDCAB) is safe and effective for coronary artery revascularization.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Techniques
- Robotic Surgery
Background:
- Minimally invasive procedures offer reduced recovery times and complications.
- Advancements in surgical technology enable precise, patient-specific coronary artery revascularization.
- A novel hybrid approach combines robotic LIMA harvesting with MIDCAB.
Purpose of the Study:
- To evaluate the initial single-center experience of a combined robotic LIMA harvesting and MIDCAB procedure.
- To assess the feasibility and outcomes of this hybrid minimally invasive coronary artery bypass grafting (CABG) approach.
Main Methods:
- Retrospective review of 17 patients undergoing the hybrid procedure between January 2021 and October 2022.
- Combined robotic harvesting of the left internal mammary artery (LIMA) and minimally invasive direct coronary artery bypass graft (MIDCAB).
Main Results:
- 100% procedural success rate.
- Median cardiopulmonary bypass time: 83 minutes; cross-clamp time: 38 minutes.
- Median ICU stay: 2 days; hospital stay: 8 days. 0% 30-day mortality.
Conclusions:
- The hybrid approach for minimally invasive CABG is encouraging and acceptable.
- Key advantages include reduced postoperative pain and pulmonary complications.
- Further studies with larger sample sizes are warranted.
