Patient anatomy predicts operative time in robotic totally endoscopic coronary artery bypass surgery
OBJECTIVES The influence of patient thoracic anatomy on operative times in robotic total endoscopic coronary artery bypass (TECAB) has not been well described. The aim of this study was to determine whether patient anatomy correlates with intraoperative time required to complete various procedural s...
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| Veröffentlicht in: | Interactive cardiovascular and thoracic surgery 2014-10, Vol.19 (4), p.572-576 |
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| creator | Wehman, Brody Lehr, Eric J. Lahiji, Kian Lee, Jeffry D. Kon, Zachary N. Jeudy, Jean Griffith, Bartley P. Bonatti, Johannes |
| description | OBJECTIVES
The influence of patient thoracic anatomy on operative times in robotic total endoscopic coronary artery bypass (TECAB) has not been well described. The aim of this study was to determine whether patient anatomy correlates with intraoperative time required to complete various procedural steps and overall operative time in TECAB.
METHODS
Preoperative multislice computed tomographic scans of the chest from 107 consecutive patients who underwent single-vessel TECAB were reviewed to measure a series of thoracic dimensions and relations. Measurements were correlated with time to complete various intraoperative procedural tasks as well as overall operative time.
RESULTS
There was a significant correlation between left internal mammary artery (LIMA) harvest time and depth of subcutaneous tissue at the level of the nipple (r = 0.24, P = 0.018). Pericardial fat pad thickness was associated with longer resection times (r = 0.266, P = 0.008). LIMA to left anterior descending artery anastomotic time was inversely correlated with the distance from the left heart border to the chest wall (r = −0.241, P = 0.016). Total operative time was also inversely correlated with this distance (r = −0.275, P = 0.005).
CONCLUSIONS
Anatomical measurements made on preoperative computed tomography in patients undergoing robotic TECAB can predict time requirements for various procedural steps. A shorter distance between the chest wall and the heart predicts longer anastomotic and total operative times. This information could assist the TECAB surgeon with surgical planning and help guide the TECAB trainee in patient selection. |
| doi_str_mv | 10.1093/icvts/ivu226 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_TOX</sourceid><recordid>TN_cdi_proquest_miscellaneous_1640480995</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/icvts/ivu226</oup_id><sourcerecordid>1640480995</sourcerecordid><originalsourceid>FETCH-LOGICAL-c427t-65415e79c8b2a3bf1de409053bee424d786cd4da5e14c17474899e969b42ec743</originalsourceid><addsrcrecordid>eNp9kDtPwzAURi0EoqWwMSNvMBBqO3YSj6jiJVWCAebIsW-RURIH26mUf4-hhZHpvo4-6R6Ezim5oUTmS6u3MSztdmSsOEBzKgqZSVaJw79e5jN0EsIHIVSSnByjGROEMFYWc2ReVLTQR6x6FV034cGDsToG7Abw6bYFHG0H2PbYu8ZFq3F0UbXthKE3Lmg3pJV23vXKT1j5CKk006BCwGH072k8RUcb1QY429cFeru_e109Zuvnh6fV7TrTnJUxKwSnAkqpq4apvNlQA5xIIvIGgDNuyqrQhhslgHJNS17ySkqQhWw4A13yfIGudrmDd58jhFh3NmhoW9WDG0NNC054RaQUCb3eodq7EDxs6sHbLn1QU1J_e61_vNY7rwm_2CePTQfmD_4VmYDLHeDG4f-oL8nuhUI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1640480995</pqid></control><display><type>article</type><title>Patient anatomy predicts operative time in robotic totally endoscopic coronary artery bypass surgery</title><source>Oxford Journals Open Access Collection</source><creator>Wehman, Brody ; Lehr, Eric J. ; Lahiji, Kian ; Lee, Jeffry D. ; Kon, Zachary N. ; Jeudy, Jean ; Griffith, Bartley P. ; Bonatti, Johannes</creator><creatorcontrib>Wehman, Brody ; Lehr, Eric J. ; Lahiji, Kian ; Lee, Jeffry D. ; Kon, Zachary N. ; Jeudy, Jean ; Griffith, Bartley P. ; Bonatti, Johannes</creatorcontrib><description>OBJECTIVES
The influence of patient thoracic anatomy on operative times in robotic total endoscopic coronary artery bypass (TECAB) has not been well described. The aim of this study was to determine whether patient anatomy correlates with intraoperative time required to complete various procedural steps and overall operative time in TECAB.
METHODS
Preoperative multislice computed tomographic scans of the chest from 107 consecutive patients who underwent single-vessel TECAB were reviewed to measure a series of thoracic dimensions and relations. Measurements were correlated with time to complete various intraoperative procedural tasks as well as overall operative time.
RESULTS
There was a significant correlation between left internal mammary artery (LIMA) harvest time and depth of subcutaneous tissue at the level of the nipple (r = 0.24, P = 0.018). Pericardial fat pad thickness was associated with longer resection times (r = 0.266, P = 0.008). LIMA to left anterior descending artery anastomotic time was inversely correlated with the distance from the left heart border to the chest wall (r = −0.241, P = 0.016). Total operative time was also inversely correlated with this distance (r = −0.275, P = 0.005).
CONCLUSIONS
Anatomical measurements made on preoperative computed tomography in patients undergoing robotic TECAB can predict time requirements for various procedural steps. A shorter distance between the chest wall and the heart predicts longer anastomotic and total operative times. This information could assist the TECAB surgeon with surgical planning and help guide the TECAB trainee in patient selection.</description><identifier>ISSN: 1569-9293</identifier><identifier>EISSN: 1569-9285</identifier><identifier>DOI: 10.1093/icvts/ivu226</identifier><identifier>PMID: 25002276</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adiposity ; Adult ; Aged ; Aged, 80 and over ; Coronary Angiography - methods ; Coronary Artery Bypass - methods ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - surgery ; Endoscopy - methods ; Female ; Humans ; Male ; Middle Aged ; Multidetector Computed Tomography ; Operative Time ; Patient Selection ; Predictive Value of Tests ; Radiography, Thoracic - methods ; Robotic Surgical Procedures - methods ; Thoracic Wall - diagnostic imaging ; Thoracic Wall - surgery ; Treatment Outcome</subject><ispartof>Interactive cardiovascular and thoracic surgery, 2014-10, Vol.19 (4), p.572-576</ispartof><rights>The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. 2014</rights><rights>The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-65415e79c8b2a3bf1de409053bee424d786cd4da5e14c17474899e969b42ec743</citedby><cites>FETCH-LOGICAL-c427t-65415e79c8b2a3bf1de409053bee424d786cd4da5e14c17474899e969b42ec743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1598,27903,27904</link.rule.ids><linktorsrc>$$Uhttps://dx.doi.org/10.1093/icvts/ivu226$$EView_record_in_Oxford_University_Press$$FView_record_in_$$GOxford_University_Press</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25002276$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wehman, Brody</creatorcontrib><creatorcontrib>Lehr, Eric J.</creatorcontrib><creatorcontrib>Lahiji, Kian</creatorcontrib><creatorcontrib>Lee, Jeffry D.</creatorcontrib><creatorcontrib>Kon, Zachary N.</creatorcontrib><creatorcontrib>Jeudy, Jean</creatorcontrib><creatorcontrib>Griffith, Bartley P.</creatorcontrib><creatorcontrib>Bonatti, Johannes</creatorcontrib><title>Patient anatomy predicts operative time in robotic totally endoscopic coronary artery bypass surgery</title><title>Interactive cardiovascular and thoracic surgery</title><addtitle>Interact Cardiovasc Thorac Surg</addtitle><description>OBJECTIVES
The influence of patient thoracic anatomy on operative times in robotic total endoscopic coronary artery bypass (TECAB) has not been well described. The aim of this study was to determine whether patient anatomy correlates with intraoperative time required to complete various procedural steps and overall operative time in TECAB.
METHODS
Preoperative multislice computed tomographic scans of the chest from 107 consecutive patients who underwent single-vessel TECAB were reviewed to measure a series of thoracic dimensions and relations. Measurements were correlated with time to complete various intraoperative procedural tasks as well as overall operative time.
RESULTS
There was a significant correlation between left internal mammary artery (LIMA) harvest time and depth of subcutaneous tissue at the level of the nipple (r = 0.24, P = 0.018). Pericardial fat pad thickness was associated with longer resection times (r = 0.266, P = 0.008). LIMA to left anterior descending artery anastomotic time was inversely correlated with the distance from the left heart border to the chest wall (r = −0.241, P = 0.016). Total operative time was also inversely correlated with this distance (r = −0.275, P = 0.005).
CONCLUSIONS
Anatomical measurements made on preoperative computed tomography in patients undergoing robotic TECAB can predict time requirements for various procedural steps. A shorter distance between the chest wall and the heart predicts longer anastomotic and total operative times. This information could assist the TECAB surgeon with surgical planning and help guide the TECAB trainee in patient selection.</description><subject>Adiposity</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Artery Bypass - methods</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - surgery</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography</subject><subject>Operative Time</subject><subject>Patient Selection</subject><subject>Predictive Value of Tests</subject><subject>Radiography, Thoracic - methods</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Thoracic Wall - diagnostic imaging</subject><subject>Thoracic Wall - surgery</subject><subject>Treatment Outcome</subject><issn>1569-9293</issn><issn>1569-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPwzAURi0EoqWwMSNvMBBqO3YSj6jiJVWCAebIsW-RURIH26mUf4-hhZHpvo4-6R6Ezim5oUTmS6u3MSztdmSsOEBzKgqZSVaJw79e5jN0EsIHIVSSnByjGROEMFYWc2ReVLTQR6x6FV034cGDsToG7Abw6bYFHG0H2PbYu8ZFq3F0UbXthKE3Lmg3pJV23vXKT1j5CKk006BCwGH072k8RUcb1QY429cFeru_e109Zuvnh6fV7TrTnJUxKwSnAkqpq4apvNlQA5xIIvIGgDNuyqrQhhslgHJNS17ySkqQhWw4A13yfIGudrmDd58jhFh3NmhoW9WDG0NNC054RaQUCb3eodq7EDxs6sHbLn1QU1J_e61_vNY7rwm_2CePTQfmD_4VmYDLHeDG4f-oL8nuhUI</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Wehman, Brody</creator><creator>Lehr, Eric J.</creator><creator>Lahiji, Kian</creator><creator>Lee, Jeffry D.</creator><creator>Kon, Zachary N.</creator><creator>Jeudy, Jean</creator><creator>Griffith, Bartley P.</creator><creator>Bonatti, Johannes</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141001</creationdate><title>Patient anatomy predicts operative time in robotic totally endoscopic coronary artery bypass surgery</title><author>Wehman, Brody ; Lehr, Eric J. ; Lahiji, Kian ; Lee, Jeffry D. ; Kon, Zachary N. ; Jeudy, Jean ; Griffith, Bartley P. ; Bonatti, Johannes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-65415e79c8b2a3bf1de409053bee424d786cd4da5e14c17474899e969b42ec743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adiposity</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Artery Bypass - methods</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - surgery</topic><topic>Endoscopy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multidetector Computed Tomography</topic><topic>Operative Time</topic><topic>Patient Selection</topic><topic>Predictive Value of Tests</topic><topic>Radiography, Thoracic - methods</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Thoracic Wall - diagnostic imaging</topic><topic>Thoracic Wall - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wehman, Brody</creatorcontrib><creatorcontrib>Lehr, Eric J.</creatorcontrib><creatorcontrib>Lahiji, Kian</creatorcontrib><creatorcontrib>Lee, Jeffry D.</creatorcontrib><creatorcontrib>Kon, Zachary N.</creatorcontrib><creatorcontrib>Jeudy, Jean</creatorcontrib><creatorcontrib>Griffith, Bartley P.</creatorcontrib><creatorcontrib>Bonatti, Johannes</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Interactive cardiovascular and thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Wehman, Brody</au><au>Lehr, Eric J.</au><au>Lahiji, Kian</au><au>Lee, Jeffry D.</au><au>Kon, Zachary N.</au><au>Jeudy, Jean</au><au>Griffith, Bartley P.</au><au>Bonatti, Johannes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient anatomy predicts operative time in robotic totally endoscopic coronary artery bypass surgery</atitle><jtitle>Interactive cardiovascular and thoracic surgery</jtitle><addtitle>Interact Cardiovasc Thorac Surg</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>19</volume><issue>4</issue><spage>572</spage><epage>576</epage><pages>572-576</pages><issn>1569-9293</issn><eissn>1569-9285</eissn><abstract>OBJECTIVES
The influence of patient thoracic anatomy on operative times in robotic total endoscopic coronary artery bypass (TECAB) has not been well described. The aim of this study was to determine whether patient anatomy correlates with intraoperative time required to complete various procedural steps and overall operative time in TECAB.
METHODS
Preoperative multislice computed tomographic scans of the chest from 107 consecutive patients who underwent single-vessel TECAB were reviewed to measure a series of thoracic dimensions and relations. Measurements were correlated with time to complete various intraoperative procedural tasks as well as overall operative time.
RESULTS
There was a significant correlation between left internal mammary artery (LIMA) harvest time and depth of subcutaneous tissue at the level of the nipple (r = 0.24, P = 0.018). Pericardial fat pad thickness was associated with longer resection times (r = 0.266, P = 0.008). LIMA to left anterior descending artery anastomotic time was inversely correlated with the distance from the left heart border to the chest wall (r = −0.241, P = 0.016). Total operative time was also inversely correlated with this distance (r = −0.275, P = 0.005).
CONCLUSIONS
Anatomical measurements made on preoperative computed tomography in patients undergoing robotic TECAB can predict time requirements for various procedural steps. A shorter distance between the chest wall and the heart predicts longer anastomotic and total operative times. This information could assist the TECAB surgeon with surgical planning and help guide the TECAB trainee in patient selection.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>25002276</pmid><doi>10.1093/icvts/ivu226</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adiposity Adult Aged Aged, 80 and over Coronary Angiography - methods Coronary Artery Bypass - methods Coronary Vessels - diagnostic imaging Coronary Vessels - surgery Endoscopy - methods Female Humans Male Middle Aged Multidetector Computed Tomography Operative Time Patient Selection Predictive Value of Tests Radiography, Thoracic - methods Robotic Surgical Procedures - methods Thoracic Wall - diagnostic imaging Thoracic Wall - surgery Treatment Outcome |
| title | Patient anatomy predicts operative time in robotic totally endoscopic coronary artery bypass surgery |
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