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Is robotic beating heart totally endoscopic coronary artery bypass feasible for BMI > 35 morbidly obese patients?
Author(s) -
Kitahara Hiroto,
Patel Brooke,
McCrorey Mackenzie,
Nisivaco Sarah,
Balkhy Husam H.
Publication year - 2018
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1911
Subject(s) - morbidly obese , medicine , body mass index , single center , surgery , artery , population , cardiology , obesity , weight loss , environmental health
Background We investigated the outcomes of morbidly obese patients after robotic beating heart totally endoscopic coronary artery bypass (BH‐TECAB). Methods This is a retrospective single center study. From July 2013 to December 2016, the outcomes of patients undergoing BH‐TECAB were reviewed. Results A total of 234 patients underwent BH‐TECAB (172 male, mean age 65.2 years). There were 43 morbidly obese patients defined as body mass index (BMI) greater than 35, and 191 non‐morbidly obese patients. Postoperative complications, or mortality in morbidly obese and other patients were similar except for prolonged ventilation >24 h (11.6% vs 2.1%, P = 0.008). Conclusions Morbidly obese patients had an increased incidence of prolonged ventilation after BH‐TECAB, but an otherwise reasonably low morbidity and mortality similar to patients with a lower BMI. We believe that adoption of robotics technology allows for BH‐TECAB and can lead to improved outcomes in this high‐risk population.