Clinical Experience of Minimally Invasive Direct Cardiac Surgery With Right Anterolateral Thoracotomy Incision by Closed Cardiopulmonary Bypass
10.3969/j.issn.1000-3614.2016.09.015
- VernacularTitle:闭式体外循环辅助下经右胸前外侧小切口微创心脏外科手术的临床总结
- Author:
Nengrui GUO
;
Pengfei SUN
;
Sen ZHANG
;
Weimao ZHAO
;
Haiwen HAO
- Publication Type:Journal Article
- Keywords:
Surgical Procedure,minimally invasive;
Mini-incision
- From:
Chinese Circulation Journal
2016;31(9):888-891
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To summarize the short-term clinical experience of minimally invasive direct cardiac surgery (MIDCS) with right anterolateral thoracotomy incision by closed cardiopulmonary bypass. Methods: A total of 42 patients received MIDCS in our hospital from 2013-09 to 2015-05 were summarized. There were 18 male and 24 female patients including 16 with atrial septal defect (ASD) repair, 4 with ventricular septal defect (VSD) repair, 16 with mitral valve replacement (MVR), 1 with mitral valve plasty (MVP) and 5 with aortic valve replacement (AVR). Direct cardiac surgery was performed by cardiopulmonary bypass through femoral artery-vein and right jugular vein annulations. A right anterolateral thoracotomy incision (length 3-5 cm) was made to enter the chest and complete the operation. Results: All 42 patients received successful operation, no peri-operative or early post-operative death, no incision infection occurred. Cardiopulmonary bypass time was [98-142 (122.4 ± 23.7) min], aortic cross-clamp time [0-118 (48.3 ± 26.2) min]. Post-operative mechanical ventilation time was [8-76 (17.4±13.1) h], intensive care unit stay time [45-124, (54.6 ± 32.6) h], hospital stay time [6-12, (8.2 ± 1.3) d]. Incision length was [3-7, (4.8 ± 1.5) cm], the draining volume at the 1st post-operative day was (356.9 ± 283.8) ml and there were 27 (64.3%) patients without transfusion. Conclusion: The short-term outcomes for MIDCS were good, it with superior safety, broad application range with minimal invasion and less complication.
