Anderson Devon, Catrip-Torres Jorge Manuel, Kiaii Bob
Division of Cardiothoracic Surgery, University of California Davis Medical Center, Sacramento, CA, USA.
Ann Cardiothorac Surg. 2024 Jul 31;13(4):326-331. doi: 10.21037/acs-2023-rcabg-0203. Epub 2024 Jul 11.
Minimally invasive approaches to address coronary artery disease, such as robotic coronary bypass grafting, are emerging in surgery and have been shown to be beneficial with a reduction in morbidity. The perioperative management of this subset of patients is crucial to the success of the operation as there are several preoperative and postoperative issues and considerations that need to be addressed. A meticulous preoperative workup with an extensive history, physical exam, and appropriate imaging are instrumental to ensure a successful operation. Protocolized postoperative care is also essential to garnish the most benefit from this minimally invasive approach. All of these factors, in conjunction with a heart team approach and surgeon experience, are imperative for the successful outcome of robotic coronary artery revascularization.
治疗冠状动脉疾病的微创方法，如机器人冠状动脉搭桥术，正在外科手术中兴起，并且已被证明可降低发病率，具有益处。这类患者的围手术期管理对手术成功至关重要，因为术前和术后存在若干需要解决的问题和注意事项。进行细致的术前检查，包括详尽的病史、体格检查以及适当的影像学检查，有助于确保手术成功。规范化的术后护理对于从这种微创方法中获得最大益处也至关重要。所有这些因素，再加上心脏团队协作方法和外科医生的经验，对于机器人冠状动脉血运重建术的成功结果而言必不可少。
