Objective
To analyze the clinical efficacy of totally thoracoscopic surgery and conventional thoracotomy in repair of ventricular septal defect (VSD).
Methods
We retrospectively reviewed the clinical data of 50 VSD patients admitted to the First Affiliated Hospital of Xinjiang Medical University from January 2015 to January 2017. According to the surgical pattern, they were divided into two groups: a totally thoracoscopic surgery group (21 patients, 13 males, 8 females, aged 38.36±10.02 years), and a thoracotomy group (29 patients, 18 males, 11 females, aged 42.36±13.02 years). The operation time, hospital stay, ventilator-assisted time and thoracic drainage were compared between the two groups.
Results
There was no death in two groups. In the thoracoscopic group the duration of cardiopulmonary bypass (CPB) time and the aortic clamping time were longer than those of the thoracotomy group (P<0.05), but postoperative drainage, patients with postoperative use of blood products and postoperative hospital stay were less (P<0.05). There was no statistically significant difference between the two groups in operation time, postoperative ventilator-assisted time or duration of ICU stay.
Conclusion
Compared with the conventional thoracotomy, totally thoracoscopic VSD repair with less trauma, quicker recovery and less blood use, is safe and reliable and can be used as a preferred surgical intervention.
Citation：
ABUDOUNAIBI, LI Junhong, MULATI, XU Xuezeng, ZHANG Mingming, AIKEBAIER, ABUDOUWAILI, AILI. Efficacy of totally thoracoscopic surgery in repair of ventricular septal defect. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(1): 54-57. doi: 10.7507/1007-4848.201703041
Copy
Copyright © the editorial department of Chinese Journal of Clinical Thoracic and Cardiovascular Surgery of West China Medical Publisher. All rights reserved
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Yu SQ, Xu XZ, Zhao BJ, et al. Totally thoraeoscopic surgical resection of cardiac myxoma in 12 patients. Ann Thorac Surg, 2010, 90(2): 674-676.
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Xu XZ, Yu SQ, Wang WG, et al. Totally thoracoscopic surgical correction of total anomalous pulmonary venous connection. Ann Thorac Surg, 2010, 90(2): 272-273.
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张晓慎, 刘菁, 陈寄梅, 等. 完全胸腔镜下体外循环三尖瓣成形外科手术. 实用医院临床杂志, 2016, 13(1): 7-10.
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中华医学会胸心血管外科学分会胸腔镜微创心脏手术技术操作规范共识专家组. 我国胸腔镜微创心脏手术技术操作规范专家共识. 中国胸心血管外科临床杂志, 2016, 23(4): 315-318.
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- 1. 程云阁, 俞世强, 蔡振杰. 完全内窥镜下的房室间隔缺损修补术. 医师进修杂志, 2003, 16(8): 13-14.
- 2. 李鸿浩, 刘雪梅, 昝懿恒, 等. 达芬奇机器人手术系统在我国胸心外科应用的科学性和伦理学系统评价. 中国胸心血管外科临床杂志, 2014, 21(3): 380-388.
- 3. 贺清, 金屏, 俞世强, 等. 完全胸腔镜技术在中国心脏外科领域的发展现状. 中国胸心血管外科临床杂志, 2017, 24(1): 65-68.
- 4. 徐学增, 易蔚, 李华, 等. 单中心全胸腔镜微创手术治疗先天性心脏病2543例临床分析. 中华外科杂志, 2016, 54(8): 591-595.
- 5. 俞世强, 徐学增, 易蔚, 等. 全胸腔镜微创心脏手术单中心临床经验. 中国体外循环杂志, 2016, 14(2): 87-90.
- 6. 阿布都外里, 李俊红, 木拉提, 等. 完全胸腔镜与正中开胸房间隔缺损修补术疗效的Meta分析. 中国循证医学杂志, 2016, 16(10): 1169-1175.
- 7. 张桂炎, 熊卫萍, 曾嵘, 等. 完全胸腔镜下体外循环心脏瓣膜手术279 例. 岭南心血管病杂志, 2014, 20(5): 612-614.
- 8. Yu SQ, Xu XZ, Zhao BJ, et al. Totally thoraeoscopic surgical resection of cardiac myxoma in 12 patients. Ann Thorac Surg, 2010, 90(2): 674-676.
- 9. Xu XZ, Yu SQ, Wang WG, et al. Totally thoracoscopic surgical correction of total anomalous pulmonary venous connection. Ann Thorac Surg, 2010, 90(2): 272-273.
- 10. 张晓慎, 刘菁, 陈寄梅, 等. 完全胸腔镜下体外循环三尖瓣成形外科手术. 实用医院临床杂志, 2016, 13(1): 7-10.
- 11. 中华医学会胸心血管外科学分会胸腔镜微创心脏手术技术操作规范共识专家组. 我国胸腔镜微创心脏手术技术操作规范专家共识. 中国胸心血管外科临床杂志, 2016, 23(4): 315-318.
