PMID- 11268737 OWN - NLM STAT- MEDLINE DCOM- 20010607 LR - 20141120 IS - 1438-3276 (Print) IS - 1438-3276 (Linking) VI - 143 IP - 10 DP - 2001 Mar 8 TI - [Minimally invasive procedures in heart surgery. How does it work and who profits?]. PG - 34-6 AB - The leading minimally invasive procedures employed in coronary surgery are minimally invasive direct coronary arterial bypass surgery (MIDCAB) and the Octopus system. These interventions are performed on the beating heart and require no extracorporeal circulation (ECC), thus avoiding the side effects, such as pulmonary or neurological complications, associated with ECC. In surgery on the mitral or aortic valve, the procedures are carried out via small incisions in the non-beating heart, and endovascular bypass systems (e.g. Port-Access) are sometimes needed for EEC. The advantages of small incisions are a reduction in the risk of infection, shorter hospital stay and, in particular, improved cosmesis. A disadvantage is the longer operating time. Only careful patients selection guarantees successful surgery. FAU - Schutz, A AU - Schutz A AD - Leiter der Herzklinik am Augustinum der Ludwig-Maximilians-Universitat Munchen. a.schuetz@hch.med.uni-muenchen.de FAU - Mair, H AU - Mair H FAU - Wildhirt, S M AU - Wildhirt SM FAU - Reichart, B AU - Reichart B LA - ger PT - English Abstract PT - Journal Article TT - Minimal-invasive Verfahren in der Herzchirurgie. Wie funktionieren sie und wer profitiert? PL - Germany TA - MMW Fortschr Med JT - MMW Fortschritte der Medizin JID - 100893959 SB - IM MH - Cardiopulmonary Bypass/instrumentation MH - *Coronary Artery Bypass/instrumentation MH - *Heart Valve Prosthesis Implantation/instrumentation MH - Humans MH - *Minimally Invasive Surgical Procedures/instrumentation MH - Robotics/instrumentation MH - Surgical Instruments EDAT- 2001/03/28 10:00 MHDA- 2001/06/08 10:01 CRDT- 2001/03/28 10:00 PHST- 2001/03/28 10:00 [pubmed] PHST- 2001/06/08 10:01 [medline] PHST- 2001/03/28 10:00 [entrez] PST - ppublish SO - MMW Fortschr Med. 2001 Mar 8;143(10):34-6.