最少侵入性门手术,包括联合同时手术的患者:一项回顾性研究
Yun Ling1, Huaxin Chen2, Pengxiong Zhu1
1Department of Cardiovascular Surgery, Shanghai East Hospital affiliated to Tongji University School of Medicine, 150 Jimo Rd, Shanghai, 200000, China.
Journal of cardiothoracic surgery
|September 30, 2023
概括
在我们的中心,微创门手术 (MIVS) 是安全有效的. 经过仔细评估后,联合同时手术 (CSS) 也是可行的,为精选患者提供了潜在的选择.
科学领域:
- 心血管外科心血管外科
- 最少侵入性手术的方法
- 膜心脏疾病 膜心脏疾病
背景情况:
- 最少侵入性门手术 (MIVS) 与传统的开放心脏手术相比,具有潜在的优势.
- 联合同时手术 (CSS) 涉及在一次手术中执行多种手术.
研究的目的:
- 调查MIVS的术后安全性和益处.
- 对 CSS 的可行性和成果进行初步审查.
主要方法:
- 在2021年7月至2022年3月期间接受MIVS的29名患者的回顾性分析.
- 包括大动脉门手术 (AVS),心心门手术 (MVS) 和四名接受CSS的患者.
- 收集了有关手术时间,心肺绕道 (CPB) 时间,大动脉十字 (ACC) 时间和术后恢复指标的数据.
主要成果:
- MIVS显示可接受的操作时间 (平均230.54分钟) 和CPB时间 (平均120.24分钟).
- 在手术前和手术后的左心室喷射分数 (LVEF) 中没有发现显著差异.
- 术后结果包括排水,输管时间,ICU住院和住院,在MIVS和CSS组之间没有显著差异.
结论:
- 在我们的机构中,MIVS是一个安全有效的程序.
- 在指示时,CSS似乎是一个可行的方法,需要进行彻底的手术前评估和多学科讨论.
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