Intermittent two-lung ventilation during minimally invasive coronary artery bypass grafting on the application of triangular-sail technique
- VernacularTitle:应用“三角帆”技术在间断双肺通气下实施左胸小切口多支冠状动脉旁路移植术
- Author:
Yuanhao FU
1
;
Yichen GONG
1
;
Min QIAN
2
;
Lufeng ZHANG
1
;
Hong ZHAO
1
;
Yunpeng LING
1
Author Information
1. Department of Cardiac Surgery, Peking University Third Hospital, Beijing, 100191, P.R.China
2. Department of Anesthesiology, Peking University Third Hospital, Beijing, 100191, P.R.China
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass grafting;
minimally invasive surgery;
protective ventilation;
two-lung ventilation
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(06):633-638
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the feasibility of using triangular-sail technique that allows intermittent two-lung ventilation during minimally invasive coronary artery bypass grafting (MICS CABG). Methods The clinical data of 207 patients with MICS CABG in our cardiac center from January 2019 to November 2020 were retrospectively analyzed. These patients were divided into two groups. A group OLV included 111 patients who underwent one-lung ventilation during surgery, while a group TLV included 96 patients who underwent intermittent two-lung ventilation. The triangular-sail technique was used in the group TLV. This simple technique isolated the operative field from lung lobes with the traction of pericardial adipose tissue. The preoperative data and perioperative clinical data of the two groups were compared and analyzed. Results There was no statistical difference in basic preoperative data between the two groups. The operation time in the OLV group was shorter than that in the TLV group (296.7±57.3 min vs. 334.1±87.0 min, P=0.000), and the duration of postoperative mechanical ventilation and ICU stay were not statistically different between the two groups. There was also no statistical difference in the incidence of pneumothorax or atelectasis between the two groups. Conclusion The triangular-sail technique is simple and easy to implement. The technique allows intermittent two-lung ventilation during MICS CABG procedure.
