Robotic Totally Endoscopic Multivessel Coronary Artery Bypass Grafting Procedure Development, Challenges, Results
Key result
A review of 161 published cases demonstrates that multivessel totally endoscopic coronary artery bypass grafting is feasible and meets open surgery standards, despite higher conversion rates.
Why the study?
Is robotic totally endoscopic multivessel coronary artery bypass grafting feasible and effective compared to open surgery?
Population
Patients with multivessel coronary artery disease referred for coronary artery bypass surgery
Comparison
Robotic totally endoscopic multivessel coronary… vs Open coronary bypass surgery through sternotomy
Design
Review
Authors
Discussion
Loading...
Member takes
Implication
Should not yet change practice; leaves open the role of multivessel totally endoscopic CABG pending randomized data.
Structured PICO
Is robotic totally endoscopic multivessel coronary artery bypass grafting feasible and effective compared to open surgery?
P
Population
161 published cases of multivessel totally endoscopic coronary artery bypass grafting (TECAB) using the da Vinci telemanipulation systems.
I
Intervention
Robotic totally endoscopic multivessel coronary artery bypass grafting (TECAB)
C
Comparator
Open coronary bypass surgery through sternotomy (historical/standard)
O
Outcome
Feasibility and clinical outcomes (short- and long-term)
Robotic totally endoscopic multivessel CABG is feasible and offers preserved sternum and short recovery, though it is technically demanding with higher conversion rates.
Limitations
- Time requirements for multivessel TECAB are significant
- Conversion rates to larger thoracic incisions are higher than those observed for single-vessel TECAB
- Significant time requirements
- Higher conversion rates to larger thoracic incisions compared to single-vessel TECAB
Cite This Study
Bonatti et al. (2012) conducted a review in Multivessel coronary artery disease (n=161). Multivessel totally endoscopic coronary artery bypass grafting (TECAB) vs. Open coronary bypass surgery (historical standard) was evaluated. A review of 161 published cases demonstrates that multivessel totally endoscopic coronary artery bypass grafting is feasible and meets open surgery standards, despite higher conversion rates.