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| No. | Article Type | Article Title | Article Page |
|---|---|---|---|
| 1 | Clinical Research | Outcomes and Survival for Early-Stage Non-Small Cell Lung Cancer Following Wedge Resection or Lobectomy: A Propensity Score-Matched Analysis Using a Novel Peruvian Registry | 501 - 510 |
| 2 | Clinical Research | Impact of Postoperative Prolonged Air Leakage on Long-Term Pulmonary Function after Lobectomy for Lung Cancer | 511 - 518 |
| 3 | Clinical Research | Prediction Model of Delayed Hemothorax in Patients with Traumatic Occult Hemothorax Using a Novel Nomogram | 519 - 528 |
| 4 | Commentary | Commentary: Prediction Model of Delayed Hemothorax in Patients with Traumatic Occult Hemothorax Using a Novel Nomogram | 529 - 530 |
| 5 | Clinical Research | Ultrasound-Guided Percutaneous Tracheostomy in Cardiovascular and Thoracic Surgery of South Korea: Retrospective Evaluation of Efficacy and Safety in Critically Ill Patients | 531 - 535 |
| 6 | Clinical Research | Costs Associated with Transcatheter Aortic Valve Implantation and Surgical Aortic Valve Replacement in Korea | 536 - 546 |
| 7 | Case Report | Diaphragmatic Fibromatosis: A Diagnostic and Therapeutic Challenge: A Case Report and Review of the Literature | 547 - 552 |
| 8 | Historical Note | Historical Perspectives of the Korean Society for Thoracic and Cardiovascular Surgery: Yung Kyoon Lee (1921–1994), Who Performed the First Open-Heart Surgery Using a Cardiopulmonary Bypass Machine in Korea | 553 - 556 |
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J Chest Surg
Published online November 18, 2024
Copyright © Journal of Chest Surgery.
De Qing Görtzen, B.Sc., Fleur Sampon 
, M.D., Naomi Timmermans , M.D., Joost Ter Woorst , M.D., Ph.D., Ferdi Akca , M.D., Ph.D.
Department of Cardiothoracic Surgery, Catharina Hospital, Eindhoven, The Netherlands
Correspondence to:Ferdi Akca
Tel 31-40-239-8680
E-mail ferdi.akca@catharinaziekenhuis.nl
ORCID
https://orcid.org/0000-0002-1748-3235
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: This study presents an overview of our technique and the perioperative outcomes for the first 100 patients who underwent minimally invasive endoscopic-assisted off-pump multivessel bypass grafting (endoscopic coronary artery bypass [endo-CAB]) at the Catharina Hospital in Eindhoven.
Methods: The first 100 patients undergoing multivessel endo-CAB from May 2022 to March 2024 were included in this retrospective, single-center, observational study (N=100). The study encompassed both elective and urgent surgical revascularization. In all cases, endoscopic-assisted harvesting of the internal mammary artery, radial artery, or saphenous vein was performed, followed by beating-heart anastomoses through a mini-thoracotomy.
Results: A total of 226 distal anastomoses were performed, utilizing 102 left internal mammary arteries, 80 radial arteries, 30 right internal mammary arteries, and 14 saphenous veins. On average, each patient had 2.3 anastomoses. A Y graft configuration was employed in 78 patients, in-situ bilateral internal mammary artery inflow in 19 patients, and a proximal aortic graft in 3 patients. Four patients underwent concurrent arrhythmia surgery. Eleven patients received hybrid revascularization. There was 1 conversion to sternotomy (1%) and 3 instances where cardiopulmonary bypass was required (3%). The median operation time was 3.3 hours (interquartile range, 3.0–3.7 hours), and the median hospital stay was 4.0 days (interquartile range, 3–4 days). The in-hospital mortality rate was 1%.
Conclusion: Multivessel off-pump endo-CAB surgery can be safely performed with endoscopic-assisted conduit harvesting. Combining the benefits of a minimally invasive and anaortic approach may improve perioperative outcomes for patients requiring surgical revascularization. Further studies are necessary to establish the role of this technique in routine coronary surgery.
Keywords: Endoscopic coronary artery bypass grafting, Off-pump coronary bypass grafting, Minimally invasive cardiac surgery, Minimally invasive direct coronary artery bypass
J Chest Surg
Published online November 18, 2024
Copyright © Journal of Chest Surgery.
De Qing Görtzen, B.Sc., Fleur Sampon , M.D., Naomi Timmermans , M.D., Joost Ter Woorst , M.D., Ph.D., Ferdi Akca , M.D., Ph.D.
Department of Cardiothoracic Surgery, Catharina Hospital, Eindhoven, The Netherlands
Correspondence to:Ferdi Akca
Tel 31-40-239-8680
E-mail ferdi.akca@catharinaziekenhuis.nl
ORCID
https://orcid.org/0000-0002-1748-3235
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: This study presents an overview of our technique and the perioperative outcomes for the first 100 patients who underwent minimally invasive endoscopic-assisted off-pump multivessel bypass grafting (endoscopic coronary artery bypass [endo-CAB]) at the Catharina Hospital in Eindhoven.
Methods: The first 100 patients undergoing multivessel endo-CAB from May 2022 to March 2024 were included in this retrospective, single-center, observational study (N=100). The study encompassed both elective and urgent surgical revascularization. In all cases, endoscopic-assisted harvesting of the internal mammary artery, radial artery, or saphenous vein was performed, followed by beating-heart anastomoses through a mini-thoracotomy.
Results: A total of 226 distal anastomoses were performed, utilizing 102 left internal mammary arteries, 80 radial arteries, 30 right internal mammary arteries, and 14 saphenous veins. On average, each patient had 2.3 anastomoses. A Y graft configuration was employed in 78 patients, in-situ bilateral internal mammary artery inflow in 19 patients, and a proximal aortic graft in 3 patients. Four patients underwent concurrent arrhythmia surgery. Eleven patients received hybrid revascularization. There was 1 conversion to sternotomy (1%) and 3 instances where cardiopulmonary bypass was required (3%). The median operation time was 3.3 hours (interquartile range, 3.0–3.7 hours), and the median hospital stay was 4.0 days (interquartile range, 3–4 days). The in-hospital mortality rate was 1%.
Conclusion: Multivessel off-pump endo-CAB surgery can be safely performed with endoscopic-assisted conduit harvesting. Combining the benefits of a minimally invasive and anaortic approach may improve perioperative outcomes for patients requiring surgical revascularization. Further studies are necessary to establish the role of this technique in routine coronary surgery.
Keywords: Endoscopic coronary artery bypass grafting, Off-pump coronary bypass grafting, Minimally invasive cardiac surgery, Minimally invasive direct coronary artery bypass
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