Analysis of hybrid cardiac and non-cardiac operations
10.3760/cma.j.issn.1001-4497.2018.01.006
- VernacularTitle:一站式非心脏疾病手术同期心脏直视手术实践分析
- Author:
Huaibin WANG
1
;
Wenjun ZHEN
;
Xiaokang OUYANG
;
Yujian MA
;
Jie TAN
;
Wenqi LUO
;
Zi WANG
Author Information
1. 100730,北京医院心血管外科
- Keywords:
Cardiac surgical procedures;
Extracoporeal circulation;
Coronary artery bypass;
Heart valve prosthesis implantation;
Hybrid operation
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(1):22-25
- CountryChina
- Language:Chinese
-
Abstract:
Objective Analysis of hybrid cardiac and non-cardiac operations.Methods 11 patients received hybrid operations during 2000 ～2016 in our hospital were summarized, meanwhile another 11 patients undergoing only cardiac sur-gery served as controls.The level of CK-MB, TNI and visual analogue pain scores were recorded.The hospitalization expenses and postoperative hospital time were compared between the two groups .Results There was no death during hospitalization . There were no serious complications such as wound infection, delayed wound healing, postoperative bleeding requiring re-thora-cotomy and hemostasis, malignant arrhythmia, cerebral infarction and so on.Longer operation time[(358 ±79)min vs.(224 ±56)min, P<0.01], more allogeneic red blood cells transfusion[(3.2 ±1.6)U/case vs.(1.1 ±0.8)U/case, P<0.05] and more plasma transfusion[(515 ±234)ml/case vs.(284 ±92)ml/case, P<0.01]in hybrid operation group than those in the control group.There was no significant difference about CK-MB and TNI between two groups perioperatively(P>0.05). The wound pain was mild after cardiac surgery , and the wound pain was moderate after hybrid operation , which had little effect on rehabilitation exercises such as cough.4 days longer of postoperative hospital stay and 23 thousand yuan of hospitalization cost in hybrid operation group than those in the control group.One patient diagnosed of unstable angina pectoris and sigmoid colon cancer with intestinal obstruction was failed to resection of the tumor after received pericardial stripping and coronary ar-tery bypass surgery.The patient died three weeks after surgery due to intestinal obstruction and cachexia .The remaining 10 pa-tients were underwent successful surgery, cured and left hospital.No serious cardiovascular events, tumor recurrence and me-tastasis were found as followed up for 6-20 months.Conclusion Our practices show that hybrid cardiac and non-cardiac op-erations can be done safely and effectively.
