Bentall procedure through the right anterior mini-incision: A clinical analysis in a single center
- VernacularTitle:右前胸肋间小切口应用于Bentall手术的单中心临床效果分析
- Author:
Fengwei GUO
1
,
2
,
3
;
Yi JIANG
1
,
2
,
3
;
Junjun HAO
1
,
2
,
3
;
Liang ZHONG
1
,
2
,
3
;
Jing LI
1
,
2
,
3
;
Yongxin LI
1
,
2
,
3
;
Yang YAN
1
,
2
,
3
Author Information
1. Department of Cardiovascular Surgery, The First Affiliated Hospital of Xi'
2. an Jiaotong University, Xi'
3. an, 710061, P. R. China
- Publication Type:Journal Article
- Keywords:
Right anterior mini-incision;
Bentall surgery;
minimally invasive cardiac surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(09):1295-1300
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the effectiveness of Bentall procedure through the right anterior mini-incision. Methods The clinical data of patients who underwent Bentall via right anterior mini-incision from September 2020 to September 2021 in the First Affiliated Hospital of Xi'an Jiaotong University were retrospectively analyzed. Results A total of 14 males with an average age of 55.1±9.3 years and body mass index of 24.7±2.8 kg/m2 were enrolled. The cardiopulmonary bypass (CPB) time was 185.6±32.9 min, the aortic cross-clamping (ACC) time was 144.8±30.3 min, the ventilation time was 18.1±13.5 h, the time in the intensive care unit was 3.7±1.8 d, and the hospital stay time was 13.4±1.6 d. Postoperative complications occurred in 5 patients: 3 patients of pleural effusion, 1 patient of pericardial effusion and 1 patient of postoperative bleeding with secondary thoracotomy hemostasis. The median follow-up time was 4 (2, 6) months. There was no mortality in the hospital or during the follow-up. As for the learning curve, the ACC time, CPB time and operation time were significantly shortened after four cases (P<0.05). Conclusion The right anterior mini-incision for Bentall operation is safe and effective, and has clinical value.
