扩大对上升大动脉的最小侵入性方法 - - 一个现有技术的实用概述
Florian Helms1, Bastian Schmack1, Alexander Weymann1
1Division for Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, 30625 Hannover, Germany.
Medicina (Kaunas, Lithuania)
|September 28, 2023
概括
至少侵入性的上升大动脉置换现在是可行的和安全的. 像上半胸切除术和胸部节省胸切除术这样的技术提供了全胸切除术的替代方案,在选定的患者中具有相似的结果.
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
- 最少侵入性手术的方法
背景情况:
- 在心血管外科手术中,越来越多地采用微创手术技术.
- 虽然已用于冠状动脉和 mitra 门手术,但它们的应用正在扩展到复杂的上升大动脉手术.
- 目前对上升性大动脉的最小侵入性方法包括上半切除术和节省胸腔切除术.
研究的目的:
- 为提供当前用于上升大动脉置换的最小侵入性技术的概述.
- 讨论这些新兴战略的实际执行,优点和缺点.
- 评估最小侵入性上升大动脉置换的安全性和可行性.
主要方法:
- 现有文献和技术的叙述性审查.
- 专注于实际的手术实施和患者选择.
- 对最小侵入性上升大动脉置换手术的结果进行分析.
主要成果:
- 正在建立起上升性大动脉置换的最小侵入性技术.
- 方法范围从半胸切除术到胸节省胸腔切除术.
- 初步结果显示,在选定的患者中,可行性和安全性是可行的,结果与全胸切除术相当.
结论:
- 最少侵入性的上升大动脉置换已经实现了概念证明.
- 这些技术需要细致的患者选择,规划和经验丰富的手术团队.
- 在精心挑选的人群中,成功率和并发症率与传统的全胸切除术相当.
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