Robotic totally endoscopic techniques to perform the left internal thoracic artery to left anterior descending graft, coupled with percutaneous coronary intervention (PCI), provide the least invasive option to achieve hybrid coronary revascularization (HCR). Shorter hospital stays and reduced need for blood transfusions have been consistently being reported by several studies along with similar long-term outcomes. Considerable variations exist in the definition of HCR which can be single or two-staged with surgical revascularization being carried out after PCI or vice versa. Variations also exist with respect to usage of cardiopulmonary bypass, surgical incisions, and the use of minimally invasive robotic techniques. The different strategies of HCR do not lead to similar outcomes and the findings of one strategy cannot be extrapolated to the entire group. Studies reporting different strategies of HCR should ideally provide more granular data when reporting outcomes.

中文翻译：

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机器人混合冠状动脉血运重建——对特定策略数据的需求

机器人全内窥镜技术执行左胸内动脉至左前降支移植物，再加上经皮冠状动脉介入治疗 (PCI)，为实现混合冠状动脉血运重建 (HCR) 提供了侵入性最小的选择。几项研究一直在报告缩短住院时间和减少输血需求，以及类似的长期结果。HCR 的定义存在相当大的差异，可以是单期或两期，在 PCI 后进行血运重建手术，反之亦然。在体外循环的使用、手术切口和微创机器人技术的使用方面也存在变化。HCR 的不同策略不会导致相似的结果，并且一种策略的结果不能外推到整个组。报告不同 HCR 策略的研究最好在报告结果时提供更详细的数据。