CAJ | 학술논문

目的总结胸壁3孔完全胸腔镜下二尖瓣手术的临床效果.方法 2004年5月至2011年10月272例行完全胸腔镜下二尖瓣手术,统计分析其病例选择、术中资料和术后随访资料.结果全组手术2.1～3.9h,平均(3.0±1.2)h；体外循环76～ 158 min,平均(98 ±22) min;升主动脉阻断38～78 min,平均(52±13) min.术后呼吸机辅助5.8 ～34.5 h,平均(11.2±3.6)h；住监护室14～67 h,平均(28.2±7.6)h；术后胸液引流量20 ～ 1200 ml,平均(370±80) ml.术后死亡1例.余者术后住院7～18天,平均(10.2±2.1)天.术后并发症14例.结论胸壁3孔完全胸腔镜下二尖瓣手术创伤小、出血少、住院时间短、美观.
목적 총결흉벽3공완전흉강경하이첨판수술적림상효과.방법 2004년5월지2011년10월272례행완전흉강경하이첨판수술,통계분석기병례선택、술중자료화술후수방자료.결과 전조수술2.1～3.9h,평균(3.0±1.2)h；체외순배76～ 158 min,평균(98 ±22) min;승주동맥조단38～78 min,평균(52±13) min.술후호흡궤보조5.8 ～34.5 h,평균(11.2±3.6)h；주감호실14～67 h,평균(28.2±7.6)h；술후흉액인류량20 ～ 1200 ml,평균(370±80) ml.술후사망1례.여자술후주원7～18천,평균(10.2±2.1)천.술후병발증14례.결론 흉벽3공완전흉강경하이첨판수술창상소、출혈소、주원시간단、미관.
Objective To summarize the clinical results of totally thoracoscopic cardiac surgery for mitral valve diseases.Methods From May 2004 to October 2011,272 patients underwent totally thoracoscopic cardiac surgery for mitral valve diseases through three ports.Summarize the indication and contraindication are used and for the operation date.Results There was 1 case in-hospital deaths.The time of operations was 2.1 ～ 3.9 (3.0 ± 1.2 ) h.Time of cardiopulmonary bypass and aortic cross-clamp was 76 ～ 158 (98 ± 22) minites and 38 ～ 78 (52 ± 13 ) minites.Time of mechanical ventilation and intensive care unit stay was 5.8 ～ 34.5 ( 11.2 ± 3.6 ) hours and 14 ～ 67 ( 28.2 ± 7.6 ) hours.The volume of drainage was 20 ～ 1200(370 ± 80) ml.The hospital days were 7 ～ 18 ( 10.2 ± 2.1 ) days.The postoperative complications occurred in 14 cases.Conclusion Totally thoracoscopic cardiac surgery for mitral valve diseases is technically feasible and safe with less drainage and shortened hospital stay.