隔离的最小侵入性中枢门外科手术在Octogenarians:外科期间的结果
Vasileios Ntinopoulos1, Hector Rodriguez Cetina Biefer1, Nestoras Papadopoulos1
1Department of Cardiac Surgery, City Hospital of Zurich - Site Triemli, Zurich, Switzerland.
Gerontology
|August 30, 2023
概括
通过右侧小胸腔切除术进行的最小侵入性 mitrale 门手术在八岁以上的人群中是可行的和安全的,没有死亡率和低发病率. 这种方法为老年患者提供了简短的手术时间和短暂的住院时间,这些老年患者正在进行中枢修复或更换.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 老年医学 老年医学
背景情况:
- 密特拉手术通常通过右侧小型胸腔切除术进行,因为它的可行性,安全性和优异的结果.
- 然而,关于其在八十岁以上 (80岁及以上的患者) 的应用数据是有限的.
- 这项研究解决了关于这种最小入侵方法在特定老年人群中的结果的信息短缺问题.
研究的目的:
- 在八十多岁的患者中,通过右侧小胸口切除术进行的 mitra 门手术的医院周围手术结果的评估.
- 评估这种微创技术的可行性,安全性和有效性,用于患有严重额头骨反症的老年人群.
主要方法:
- 对38名八十多岁的患者进行了回顾性分析,这些患者在2013年至2021年期间使用右侧迷你胸切除术方法进行了隔离的二手中手术.
- 收集的数据包括术后结果,手术持续时间和并发症率.
- 记录了患者人口统计数据,包括82岁的中位数年龄和3.1%的EuroSCORE II中位数.
主要成果:
- 这项研究包括38名八十岁以上的年轻人 (平均年龄82岁),其中50%接受了心心门修复.
- 关键发现包括短心肺绕道 (78分钟) 和大动脉交叉紧 (57分钟) 时间.
- 虽然没有发生术前中风或死亡,但并发症包括心脏起器植入 (31.6%) 和重新探索出血 (13.2%).
结论:
- 通过右侧小型胸腔切除术进行中枢门手术在八岁以上的患者中是可行的,其特点是短缺血时间和整体低的住院发病率和死亡率.
- 观察到心脏起器植入和重新探索出血的风险增加.
- 选择高风险修复病例的门置换可能会进一步减少这种脆弱患者群体的重新手术.
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