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Surgical, Anesthetic, Perfusion-Related Advances in Minimal Access Surgery

Department of Surgery University of Weatern Ontario, Longon Health Science Center, University Campus, Ivey Cardiac Centre, London, Ontario, Canada, bob.kiaii{at}lhsc.on.ca

Daniel Bainbridge, MD, FRCP

Department of Anesthesia and Perioperative care (DB), University of Western Ontario, London Health Science Center, University Campus, Ivey Cardiac Centre, London, Ontario, Canada

Philip Fernandes, CCP, CPC

Department of Surgery University of Weatern Ontario, Longon Health Science Center, University Campus, Ivey Cardiac Centre, London, Ontario, Canada

As we enter the fifth decade in cardiac surgery, traditionally cardiac surgery has been performed using a median sternotomy with cardiopulmonary bypass providing great access to the heart and all the surrounding structures. During the last decade, there has been a paradigm shift in the methods by which surgery has been performed. The invasiveness of many procedures has been dramatically reduced, with significantly superior outcomes, as evidenced by improved survival, fewer complications, and quicker return to functional health and productive life. This resulted in significant interest and excitement in adopting less invasive techniques in cardiac surgery. Unfortunately, this was an unrealistic expectation due to the limitations that existed in cardiac surgical techniques and conventional endoscopic instruments, cardiac anesthesia, and cardiopulmonary bypass techniques. In this article, the advances in minimally invasive surgical, cardiac anesthesia, and cardiopulmonary bypass techniques in the evolution of minimal access cardiac surgery are summarized.

Key Words: minimally invasive surgery • cardiac anesthesia • cardiopulmonary bypass • robotics

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Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 11, No. 4, 282-287 (2007)
DOI: 10.1177/1089253207311160


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Kiaii, B. Articles by Fernandes, P. Search for Related Content PubMed PubMed Citation Articles by Kiaii, B. Articles by Fernandes, P. Social Bookmarking                         What's this?