Minimally invasive coronary artery bypass grafting single-center experience in 50 patients with multi-vessel lesion
10.3760/cma.j.issn.1001-4497.2019.03.008
- VernacularTitle:肋间单一切口直视下微创多支OPCABG50例
- Author:
Jiaji LIU
1
;
Liqun CHI
;
Qingyu KONG
;
Lin LIANG
;
Xinghua LIU
;
Xinliang CHEN
Author Information
1. 北京市心肺血管疾病研究所首都医科大学附属北京安贞医院心脏外科 100029
- Keywords:
Minimal invasive surgery;
Single left intercoastal space;
Multivessel off-pump coronary artery bypass grafting
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2019;35(3):159-162
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the perioperative outcomes between patients who underwent multivessel off-pump coronary artery bypass graft(OPCABG) via single left intercoastal space and sternotomy,and to explore the perioperative outcomes and technigues about minimally coronary artery bypass grafting with multi-vessel lesion.Methods From January 2017 to July 2018,100 patients were recruited using both left internal mammary artery and vein graft.They were divided into minimal invasive coronary artery bypass grafting(MICS) group and control group.Perioperative outcomes were analyzed and surgical techniques were summarized.Results There was no statistical difference in preoperative profiles,mean grafts and postoperative complications(P ＞0.05).Compared with control group,MICS group had statistical benefits in length of operation incision [(8.2 ± 1.2) cm vs.(25.3 ± 3.5) cm,P =0.000],i ntraoperative washed blood loss [(301 ± 188) ml vs.(444 ± 331) ml,P =0.01],postoperative ventilation duration [(16.18 ± 5.90) h vs.(19.60 ± 3.92) h,P =0.001] and length of ICU stay [(19.19±6.85)hvs.(23.44±4.64)h,P=0.001].Conclusion There is a learning process for surgeons to perform minimal invasive OPCABG via single left intercoastal space.Surgery is feasible for patients with multiple coronary lesions.Mid and long term following up need to be studied.
