VIDEO ENDOSCOPE TECHNOLOGY WITH MINIMALLYINVASIVE SURGICAL TREATMENT OF PATIENTS WITHCORONARY HEART DISEASE: CASE SERIES REPORT

Abstract

Coronary artery bypass surgery with using endoscopic technology is the most recent trend of
surgical treatment of coronary heart disease.
The purpose of this work is to present the experience of the 8 video assistant cardiac surgery in a
"Pavlodar Regional Cardiological Center" for the period from 2012 to 2016.
Materials and methods. Design - case series. All 8 patients underwent minimal-ivasive direct
coronary artery bypass off pump, with endoscopic release of the left internal mammary artery (LIMA),
and making anastomosis LIMA to left anterior descending artery. Study options: the operation, time of
releasing the LIMA, time of ventilation of lungs, ICU time, postoperative hospital stay days, the presence
of in-hospital mortality, blood transfusions and reoperations.
Results. The median time of MIDCAB is 225,0 (IQR=14,0) minutes. The time to release the LIMA
46,9 (IQR=30,0) minutes. The average time for patients extubated is 3,8 (IQR=2,0) hours; After the 15
hours, patients directed to the profile department. The postoperative hospital stay in cardiac surgery
department was 6,0 (IQR=1,0) days. Among patients in-hospital mortality, re-operations and blood
transfusions not appeared.
Conclusions. Primary data indicate good time performance of the operation and stay in ICU, no
hospital mortality, re-operations and blood transfusions. However, we understand that for a definitive
answer to the question about the advantages of this method, we have to make a multicenter
randomized controlled study on a large amount of patients.