Is robotic beating heart totally endoscopic coronary artery bypass feasible for BMI > 35 morbidly obese patients?

被引：11
作者：
Kitahara, Hiroto [1 ]
Patel, Brooke [1 ]
McCrorey, Mackenzie [1 ]
Nisivaco, Sarah [1 ]
Balkhy, Husam H. [1 ]
机构：
[1] Univ Chicago, Dept Surg, 5841 S Maryland Ave, Chicago, IL 60637 USA
来源：
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY | 2018年 / 14卷 / 04期
关键词：
INTERNAL MAMMARY ARTERY; 30-YEAR FOLLOW-UP; DIABETIC-PATIENTS; SURVIVAL BENEFIT; SURGERY; MORTALITY; OUTCOMES;
D O I：
10.1002/rcs.1911
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
BackgroundWe investigated the outcomes of morbidly obese patients after robotic beating heart totally endoscopic coronary artery bypass (BH-TECAB). MethodsThis is a retrospective single center study. From July 2013 to December 2016, the outcomes of patients undergoing BH-TECAB were reviewed. ResultsA total of 234 patients underwent BH-TECAB (172 male, mean age 65.2years). There were 43 morbidly obese patients defined as body mass index (BMI) greater than 35, and 191 non-morbidly obese patients. Postoperative complications, or mortality in morbidly obese and other patients were similar except for prolonged ventilation >24h (11.6% vs 2.1%, P=0.008). ConclusionsMorbidly obese patients had an increased incidence of prolonged ventilation after BH-TECAB, but an otherwise reasonably low morbidity and mortality similar to patients with a lower BMI. We believe that adoption of robotics technology allows for BH-TECAB and can lead to improved outcomes in this high-risk population.
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页数：6
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