摘要
目的 总结电视胸腔镜心脏手术的经验。方法 采用右侧胸壁打 3个小孔 (1～ 2cm) ,股动脉静脉、上腔静脉插管建立体外循环 ,阻闭升主动脉 ,冷晶体心脏停跳液顺行灌注保护心肌。电视胸腔镜下行房间隔缺损修补手术 2 6例 ,室间隔缺损修补手术 32例。结果 术中扩大切口 2例 ,室缺残余漏 1例 ,二次开胸止血 1例 ,手术时间 3.6～ 5 .6h ,平均 4 .1h。体外循环时间 38～ 15 6min ,平均 86min ;升主动脉阻闭时间 11～5 6min ,平均 2 8min。术后患者恢复顺利。结论 电视胸腔镜下简单先天性心脏病手术创伤小、恢复快 ,美容效果好 ,是可行。
Objective:To summarize the experience of video-assisted cardiac surgeries.Methods:Fifty-eight patients accepted video-assiated cardiac surgeries.An arterial catheter and two venous catheters were placed in the right femoral artery, femoral vein, and the superior vena cava respectively to set up extracorporeal circulation. the aorta was cross-clamped and the myocardium was protected by coronary perfusion with cold cardiopleige. Surgeries were performed through three lateral-right chest wall holes under thoracoscopy.Results:All patients survived after operations. The durations of extracorporeal circulation and cross-clamped was 38～156(86 on average) mins and 11～56(28 on average ) mins respectively. Postoperative course was uneventful.Conclusions:Video-assisted cardiac surgery is technically feasible and safe because of its minimal in vasion and rapid recovery.
出处
《中国内镜杂志》
CSCD
2003年第11期45-46,56,共3页
China Journal of Endoscopy
关键词
电视胸腔镜
房间隔缺损
室间隔缺损
微创心脏手术
Thoracoscopy
Atrial septal defect
Ventricular septal defect
Minimally invasive cardiac surgery
