Efficacy of totally thoracoscopic surgery in repair of ventricular septal defect_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ABUDOUNAIBI ¹ , LI Junhong ¹ ,  MULATI ¹ , XU Xuezeng ² , ZHANG Mingming ¹ , AIKEBAIER ¹ , ABUDOUWAILI ¹ , AILI ¹

1. First Department of Cardiac Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830054, P.R.China;
2. Department of Cardiovascular Surgery, Xijing Hospital, the Fourth Military Medical University, Xi’an, 710032, P.R.China;

Corresponding?author：

MULATI, Email: muratvakeli@hotmail.com

Keywords：

Thoracoscopy; ventricular septal defect; cardiac surgery

DOI：

10.7507/1007-4848.201703041

Video：

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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

1.	程云閣, 俞世強, 蔡振杰. 完全內窺鏡下的房室間隔缺損修補術. 醫師進修雜志, 2003, 16(8): 13-14.
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5.	俞世強, 徐學增, 易蔚, 等. 全胸腔鏡微創心臟手術單中心臨床經驗. 中國體外循環雜志, 2016, 14(2): 87-90.
6.	阿布都外里, 李俊紅, 木拉提, 等. 完全胸腔鏡與正中開胸房間隔缺損修補術療效的Meta分析. 中國循證醫學雜志, 2016, 16(10): 1169-1175.
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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.	張曉慎, 劉菁, 陳寄梅, 等. 完全胸腔鏡下體外循環三尖瓣成形外科手術. 實用醫院臨床雜志, 2016, 13(1): 7-10.
11.	中華醫學會胸心血管外科學分會胸腔鏡微創心臟手術技術操作規范共識專家組. 我國胸腔鏡微創心臟手術技術操作規范專家共識. 中國胸心血管外科臨床雜志, 2016, 23(4): 315-318.

1. 程云閣, 俞世強, 蔡振杰. 完全內窺鏡下的房室間隔缺損修補術. 醫師進修雜志, 2003, 16(8): 13-14.
2. 李鴻浩, 劉雪梅, 昝懿恒, 等. 達芬奇機器人手術系統在我國胸心外科應用的科學性和倫理學系統評價. 中國胸心血管外科臨床雜志, 2014, 21(3): 380-388.
3. 賀清, 金屏, 俞世強, 等. 完全胸腔鏡技術在中國心臟外科領域的發展現狀. 中國胸心血管外科臨床雜志, 2017, 24(1): 65-68.
4. 徐學增, 易蔚, 李華, 等. 單中心全胸腔鏡微創手術治療先天性心臟病2543例臨床分析. 中華外科雜志, 2016, 54(8): 591-595.
5. 俞世強, 徐學增, 易蔚, 等. 全胸腔鏡微創心臟手術單中心臨床經驗. 中國體外循環雜志, 2016, 14(2): 87-90.
6. 阿布都外里, 李俊紅, 木拉提, 等. 完全胸腔鏡與正中開胸房間隔缺損修補術療效的Meta分析. 中國循證醫學雜志, 2016, 16(10): 1169-1175.
7. 張桂炎, 熊衛萍, 曾嶸, 等. 完全胸腔鏡下體外循環心臟瓣膜手術279 例. 嶺南心血管病雜志, 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. 張曉慎, 劉菁, 陳寄梅, 等. 完全胸腔鏡下體外循環三尖瓣成形外科手術. 實用醫院臨床雜志, 2016, 13(1): 7-10.
11. 中華醫學會胸心血管外科學分會胸腔鏡微創心臟手術技術操作規范共識專家組. 我國胸腔鏡微創心臟手術技術操作規范專家共識. 中國胸心血管外科臨床雜志, 2016, 23(4): 315-318.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Efficacy of totally thoracoscopic surgery in repair of ventricular septal defect

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