内镜结合性大动脉和 mitra 门手术:可行性和中期结果
Giovanni Domenico Cresce1, Daniele Zoni1, Valentina Grazioli1
1Division of Cardiac Surgery, S. Bortolo Hospital, Vicenza, Italy.
概括
内镜微创手术可用于联合的大动脉和中枢门手术. 这种方法显示出有希望的中期存活率,支持其更广泛的临床采用.
科学领域:
- 心血管外科心血管外科
- 最少侵入性的技术
- 胸腔镜手术 胸腔镜手术
背景情况:
- 内镜手术为心脏微创手术提供了进步.
- 在联合的大动脉和 mitra 门手术中内镜应用的证据是有限的.
研究的目的:
- 评估内镜同时进行的大动脉和中枢门手术的可行性和中期结果.
- 评估这种微创方法的安全性和有效性.
主要方法:
- 对111名接受内镜联合门手术的患者的回顾性分析 (2016年1月至2025年7月).
- 通过使用胸腔镜与外围心肺旁路术进行右侧小胸切除术的手术.
- 主要终点:住院死亡率;次要终点:术后并发症和中期存活率.
主要成果:
- 住院死亡率为3.6%,中风 (3.6%) 和出血 (8.1%) 率较低.
- 46个月的随访时间中位数显示整体存活率为87%.
- 降低的EGFR,冠状动脉疾病,慢性肺病和外周动脉病变预测了不良的早期结果.
结论:
- 内镜技术是联合主动脉和 mitra 门手术的可行选择.
- 该程序显示了有利的中期结果,支持其越来越多的使用.
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