Efficacy of aortic valve replacement through the right third intercostal small incision versus median sternal incision: A retrospective cohort study
- VernacularTitle:经右胸第 3 肋间小切口与胸骨正中切口行单纯主动脉瓣置换术疗效比较的回顾性队列研究
- Author:
Lei YAN
1
;
Qingwei CHEN
1
;
Guoqing CHEN
1
;
Yang GAO
2
;
Yanli QIAO
1
Author Information
1. Department of Cardiovascular Surgery, Affiliated Hospital of Jining Medical College, Jining, 272029, Shandong, P. R. China
2. Department of Cardiac Intensive Care Unit, Affiliated Hospital of Jining Medical College, Jining, 272029, Shandong, P. R. China
- Publication Type:Journal Article
- Keywords:
Aortic valve replacement;
right third intercostal small incision;
median sternal incision;
peripheral cardiopulmonary bypass
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(04):540-545
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the safety and effectiveness of minimally invasive small incision through the right third intercostal and standard aortic valve replacement. Methods The clinical data of 123 patients with the first simple aortic valve replacement in our hospital from June 2013 to May 2020 were retrospectively analyzed. The patients receiving aortic valve replacement through the right third intercostal small incision were allocated to a minimally invasive group, and patients receiving aortic valve replacement through the median sternal incision were allocated to a common group. The clinical outcomes of the two groups were compared. Results There were 40 patients in the minimally invasive group, including 11 (27.5%) females and 29 (72.5%) males, aged 54.60±9.98 years with the body mass index (BMI) of 23.16±2.48 kg/m2. There were 83 patients in the common group, including 27 (32.5%) females, 56 (67.5%) males, aged 58.77±9.71 years, with the BMI of 24.13±3.13 kg/m2. Compared with the common group, the aortic cross-clamping time, cardiopulmonary bypass time, and operation time were longer (P<0.05), the ventilator support time was shorter (P<0.05), and the blood loss, postoperative 24 h chest drainage volume and total expense were less (P<0.05) in the minimally invasive group. The ICU stay, postoperative hospital stay, and total hospital stay were not statistically different between the two groups (P>0.05). Conclusion The aortic valve replacement through the right third intercostal small incision is safe and effective, with less blood loss, 24 h chest drainage volume and invasiveness.
