Кардиохирургия XXI века: литературный обзор результатов операций по методикам TECAB и MIDCAB/MICS-CABG

Цель исследования: проанализировать технические преимущества и эффективность коронарного шунтирования по методике TECAB по сравнению с операциями MIDCAB/MICS-CABG на основе данных литературных источников.

Материалы и методы: отбор литературных источников производился при помощи поисковой системы PubMed по запросам «minimally invasive coronary bypass», «MIDCAB», «robot-assisted coronary bypass», «totally endoscopic coronary bypass», «TECAB». Литературный обзор проведён на основании данных, представленных в 33 оригинальных статьях за период с 2004 г. по 2024 г.

Результаты: согласно представленным в отобранных публикациях данным TECAB операции по сравнению с методиками MIDCAB и MICS-CABG в большинстве случаев имеют преимущество по следующим показателям: частота конверсии на стернотомный доступ, частота развития раневой инфекции, длительность послеоперационного пребывания в стационаре. В то же время методика TECAB уступает MIDCAB/MICS-CABG по длительности оперативного вмешательства.

Выводы: методика TECAB характеризуется более низкой частотой послеоперационных осложнений по сравнению с MIDCAB/MICSCABG операциями. Длительность госпитализации и частота развития раневой инфекции при выполнении TECAB по литературным данным ниже, чем при MIDCAB/MICS-CABG операциях.

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