Volume 19 Issue 3
Mar.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(3): 362-364,445
Ling WANG, LIU Xue-gang, LI Hai-hui, DIAO Wen-jie. Application of single utility port thoracoscopic combined with on-pump beating heart technique in open-heart surgery[J]. Chinese Journal of General Practice, 2021, 19(3): 362-364,445. doi: 10.16766/j.cnki.issn.1674-4152.001810
Citation: Ling WANG, LIU Xue-gang, LI Hai-hui, DIAO Wen-jie. Application of single utility port thoracoscopic combined with on-pump beating heart technique in open-heart surgery[J]. Chinese Journal of General Practice, 2021, 19(3): 362-364,445. doi: 10.16766/j.cnki.issn.1674-4152.001810
shu

Application of single utility port thoracoscopic combined with on-pump beating heart technique in open-heart surgery

doi: 10.16766/j.cnki.issn.1674-4152.001810

  • Department of Cardiovascular Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 1301042200

 1208085MH130

 KJ2019A0362

  • Received Date: 2020-10-30
    Available Online: 2022-02-19
    Abstract
  •   Objective   To investigate the application of single utility port thoracoscopic combined with on-pump beating heart minimally invasive technique in open-heart surgery.   Methods   From September 2015 to December 2018, 41 cases of various cardiac surgeries were performed by using single utility port thoracoscopic combined with on-pump beating heart minimally invasive technique. Among them, there were 10 males and 31 females; The average age was 40.95±15.95 years old. Surgical diseases and methods included: the repair of atrial septal defect in 24 cases, the correction of partial atrioventricular canal defect in 1 case, the repair of membranous ventricular septal defect in 2 cases, the resection of the left atrial tumour in 8 cases, the resection of right atrial myxoma in 1 case, the modified Carpentier annuloplasty for Ebstein anomaly in 3 cases, the leaflet and prosthetic ring annuloplasty for tricuspid regurgitation in right heart failure in 1 case, and the tricuspid bioprosthetic valve replacement for tricuspid regurgitation in right heart failure after the mitral valve replacement in 1 case.   Results   The operation in the whole group was successfully completed, the perioperative indicators showed: the time of cardiopulmonary bypass was (81.18±39.07) min, the time of vena cava blocking was (51.60±30.94) min, the operation time was (177.15±45.05) min, the time of respirator assistance was (10.68±18.99)h, the drainage volume within 24 hours after the operation was (241.86±64.38) ml, and the hospital stay was (13.33±12.43) d. The main postoperative complications included: the secondary invasion hemostasis for right atrial incision bleeding in 1 case, the pulmonary infection in 2 cases, the tracheotomy for respiratory failure in 1 case, and the hemoglobinuria in 1 case. There was no post-operative death, and the patient recovered well and was discharged. There was no residual patent ductus arteriosus or significant valve regurgitation, and no cases of late death or reoperation in the post-operative follow-up for 2-5 years.   Conclusion  It was safe, simple and effective for the single utility port thoracoscopic combined with on-pump beating heart minimally invasive technique to be applied to various open-heart surgeries.

     

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