Interactive cardiovascular and thoracic surgery
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Interact Cardiovasc Thorac Surg · Oct 2015
Randomized Controlled Trial Multicenter StudyCan posterior pericardiotomy reduce the incidence of postoperative atrial fibrillation after coronary artery bypass grafting?†.
Atrial fibrillation (AF) is a common complication that increases the morbidity after open heart surgery. The pathophysiology is uncertain, and its prevention remains suboptimal. The aim of this study was to assess the efficiency of posterior pericardiotomy in decreasing the incidence of pericardial effusion and postoperative AF. ⋯ Posterior pericardiotomy is a simple, safe and effective method for reducing the incidence of postoperative pericardial effusion and related atrial fibrillation by improving pericardial drainage after coronary artery bypass grafting.
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Interact Cardiovasc Thorac Surg · Oct 2015
Meta Analysis Comparative StudyRobotic thoracic surgery versus video-assisted thoracic surgery for lung cancer: a meta-analysis.
There are two different minimally invasive approaches, robotic thoracic surgery (RTS) and video-assisted thoracic surgery (VATS), which are performed for lung cancer resection. This meta-analysis aimed to compare the perioperative outcomes of RTS with those of VATS for patients with lung cancer. ⋯ This meta-analysis showed that RTS resulted in similar outcomes compared with VATS cases. RTS appears to be an appropriate alternative to VATS, which is associated with improved outcomes compared with open thoracotomy. RTS should be studied further in selected centres and compared with VATS in a randomized fashion to better define its potential advantages and disadvantages.
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Interact Cardiovasc Thorac Surg · Oct 2015
The effects of preoperative statins on the incidence of postoperative acute kidney injury in patients undergoing cardiac surgeries.
Recent evidence has emphasized multifunctional therapeutic effects of statins on renal protection after cardiac surgeries. We aimed to assess the effects of preoperative administration of statins on lowering the incidence of postoperative acute kidney injury in patients undergoing cardiac surgeries. ⋯ Preoperative statin use may not inhibit acute kidney injury after operation.