最少侵入性中枢门手术:长期 (20年) 随访后的右侧侧面小胸切除术
Razan Salem1, Katharina Fay1,2, Philipp Kaiser1
1Department of Cardiovascular Surgery, University Hospital and Goethe University Frankfurt, Frankfurt/Main, Germany.
CJC open
|July 23, 2025
概括
最少侵入性 mitra 门手术 (MIMVS) 提供安全的,长期的结果. 这项研究表明,通过右侧小心胸切除术进行的MIMVS具有出色的门性能和低的再操作率,长达20年.
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:
- 通过右侧小胸口切除术进行的最小侵入性关节手术 (MIMVS) 是一种标准的方法.
- 对于MIMVS的长期功能结果数据有限.
研究的目的:
- 为了评估MIMVS的长期功能结果,通过右侧微胸切除术进行.
- 为了评估门的性能和重复手术率,直到手术后21.6年.
主要方法:
- 在1997年至2017年期间接受MIMVS治疗的301名患者的回顾性分析.
- 使用Kaplan-Meier和竞争风险分析来评估后续数据.
主要成果:
- 低30天死亡率 (3.3%) 和外科手术后中风率 (0.8%).
- 非常好的长期门性能,20年累计的重新操作发生率为7.0%±1.6%.
- 20年累计发病率的复发的额头肌吐≥中度是20.2%±2.7%.
结论:
- 通过右小胸口切除术进行MIMVS是一种安全的手术,具有良好的外科手术后期结果.
- 这种方法表明门的长期性能优异,重新操作率低.
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