Source:http://linkedlifedata.com/resource/pubmed/id/19454414
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
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| pubmed:dateCreated |
2009-7-24
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| pubmed:abstractText |
More and more patients undergoing coronary artery bypass grafting (CABG) are overweight. This patient group suffers from wound healing problems more often than normal-weight patients. Therefore, avoiding sternotomy in obese patients by using an endoscopic technique could be a promising approach. Robotic technology enables totally endoscopic coronary artery bypass grafting (TECAB) procedures. We investigated whether the intra-operative-times or perioperative-outcome after TECAB-procedure are negatively affected by obesity. Patients [n=127, 101 male, 26 female, median age 59 (31-77) years], undergoing arrested-heart TECAB procedure were enrolled. The median body mass index (BMI) in this patient cohort was 26 (19-38). In detail, 27 patients were normal-weight (BMI <or= 25 kg/m(2)), 67 patients were overweight (BMI 25.1-30 kg/m(2)), 29 patients were obese (BMI 30.1-33.9 kg/m(2)) and four patients were morbidly obese (BMI >or= 34 kg/m(2)). There was no correlation between BMI (1) left internal mammary artery (LIMA) takedown-time [Spearman-rank correlation coefficient (R)=0.02; P=n.s.], (2) lipectomy and pericardiotomy-time (R=0.042, P=n.s.), (3) total operative-time (R=-0.083: P=n.s.), (4) cardiopulmonary-bypass-time (R=-0.012; P=n.s.), (5) aortic-endoocclusion-time (R=-0.055; P=n.s.), (6) mechanical-ventilation-time (R=0.001, P=n.s.), (7) length of ICU-stay (R=0.04; P=n.s.), (8) length of hospital-stay (R=-0.103; P=n.s.) or (9) occurrence of intra- and/or postoperative adverse events. In overweight, obese but also morbidly obese patients the TECAB procedure did not increase operative times or the rate of intra- or postoperative complications. This patient group, therefore, benefits from this less traumatic version of coronary surgery.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:month |
Aug
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| pubmed:issn |
1569-9285
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| pubmed:author | |
| pubmed:issnType |
Electronic
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| pubmed:volume |
9
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
214-7
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| pubmed:meshHeading |
pubmed-meshheading:19454414-Adult,
pubmed-meshheading:19454414-Aged,
pubmed-meshheading:19454414-Angioscopy,
pubmed-meshheading:19454414-Body Mass Index,
pubmed-meshheading:19454414-Cardiopulmonary Bypass,
pubmed-meshheading:19454414-Coronary Artery Bypass,
pubmed-meshheading:19454414-Coronary Artery Disease,
pubmed-meshheading:19454414-Female,
pubmed-meshheading:19454414-Heart Arrest, Induced,
pubmed-meshheading:19454414-Humans,
pubmed-meshheading:19454414-Intensive Care,
pubmed-meshheading:19454414-Length of Stay,
pubmed-meshheading:19454414-Lipectomy,
pubmed-meshheading:19454414-Male,
pubmed-meshheading:19454414-Middle Aged,
pubmed-meshheading:19454414-Obesity,
pubmed-meshheading:19454414-Obesity, Morbid,
pubmed-meshheading:19454414-Overweight,
pubmed-meshheading:19454414-Pericardiectomy,
pubmed-meshheading:19454414-Respiration, Artificial,
pubmed-meshheading:19454414-Retrospective Studies,
pubmed-meshheading:19454414-Risk Assessment,
pubmed-meshheading:19454414-Severity of Illness Index,
pubmed-meshheading:19454414-Surgery, Computer-Assisted,
pubmed-meshheading:19454414-Time Factors,
pubmed-meshheading:19454414-Treatment Outcome
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| pubmed:year |
2009
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| pubmed:articleTitle |
Does obesity affect operative times and perioperative outcome of patients undergoing totally endoscopic coronary artery bypass surgery?
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| pubmed:affiliation |
Innsbruck Medical University, Innsbruck, Austria. dominik.wiedemann@i-med.ac.at
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| pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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