侧微胸切除术 中心通道的中心门手术:为期三年的单中心经验
Anil Sharma1, Sunil Dixit1, Mohit Sharma1
1Department of Cardiovascular and Thoracic Surgery, SMS Medical College, Jaipur, Rajasthan, India.
概括
使用右侧小胸口切除术与中央管进行的最小侵入性关置换 (MVR) 是安全有效的. 这种技术提供了出色的美容效果,并避免了与其他微创方法相关的并发症.
科学领域:
- 心血管外科心血管外科
- 最少侵入性心脏外科手术
- 中心门维修和更换
背景情况:
- 全球越来越多地采用微创性 mitra 门手术.
- 已经开发了一种使用右小胸口切除和中央管的简化技术.
- 这种方法避免了内镜辅助和大腿管道,降低了相关风险.
研究的目的:
- 分析使用中央管进行的最小侵入性心肌置换术 (MVRs) 的结果.
- 评估这种特殊的外科手术技术的安全性和有效性.
主要方法:
- 对接受MVR的患者进行手术前,手术内和手术后变量的前性数据收集.
- 研究期:2016年1月至2018年6月.
- 对350名患者的结局分析.
主要成果:
- 患者的平均年龄为33.40±10.89岁.
- 不需要转换为胸切除术.
- 主要发病率较低:中风 (0.29%),新发性透析 (0.85%).
- 短期住院 (5.36±1.12天) 和低输血需要.
结论:
- 通过中央管的胸腔切除术进行最小侵入性MVR是一种安全和可重复的选择.
- 该技术提供了出色的化品结果.
- 这种方法代表了对 mitra 门手术的有价值的替代方案.
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