This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (9)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Surgery  • Surgery, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

Francis G. Duhaylongsod, MD

Arch Surg. 2000;135:296-301.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

There is no operation as complex, yet as fundamentally unchanged over time, as conventional coronary artery bypass grafting (CABG). This remarkable achievement is attributed to the operation's adaptability to a wide variety of clinical settings; its reproducibility, although performed by surgeons all across the world; and its proved track record for safety and effectiveness. A monumental effort, however, is currently under way to redefine CABG. This paradigm shift has received a groundswell of support as advances in minimally invasive surgery in other areas, such as arthroscopy, laparoscopic cholecystectomy, and thoracoscopy, combined with an increasing focus on cost containment, have forever changed the milieu of the cardiac surgeon. This review examines the clinical and research issues surrounding minimally invasive CABG from the vantage point of a surgeon-scientist working in the field.

EFFECTIVENESS OF CONVENTIONAL CABG

Excellent long-term results are achieved with conventional CABG employing cardiopulmonary bypass (CPB) and sternotomy. Major studies . . . [Full Text of this Article]

COMPLICATIONS AFTER CONVENTIONAL CABG

GOALS OF MINIMALLY INVASIVE CABG

Achieving an Effective Coronary Anastomosis

Achieving Complete Revascularization

Avoiding the Use of CPB

Avoiding the Morbidity of Sternotomy

From the Department of Cardiothoracic Surgery, Hawaii Permanente Medical Group, and the Minimally Invasive Cardiac Surgery Research Laboratory, University of Hawaii School of Medicine, Honolulu.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Archives of Surgery Reader's Choice: Continuing Medical Education
Arch Surg. 2000;135(3):375-376.
FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Modulation of Systemic Inflammatory Response after Cardiac Surgery
Raja and Dreyfus
Asian Cardiovasc. Thorac. Ann. 2005;13:382-395.
ABSTRACT | FULL TEXT  

OFF-PUMP CORONARY ARTERY BYPASS SURGERY
de Jaegere and Suyker
Heart 2002;88:313-318.
FULL TEXT  

Totally endoscopic coronary artery bypass grafting on cardiopulmonary bypass with robotically enhanced telemanipulation: Report of forty-five cases
Dogan et al.
J. Thorac. Cardiovasc. Surg. 2002;123:1125-1131.
ABSTRACT | FULL TEXT  

Fast-Tracking After Coronary Artery Bypass Graft Surgery
Coriat and Beaussier
Anesth. Analg. 2001;92:1081-1083.
FULL TEXT