Totally thoracoscopic closure of ventricular septal defect: A single-center clinical analysis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LAN Huai ¹ , CHENG Yunge ² ,  JIA Baocheng ² , CHAI Yuliang ²

1. Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, 110016, P.R.China;
2. Department of Thoracoscopic Cardiacsurgery, Shanghai Yodak Cardiothoracic Hospital, Shanghai, 200235, P.R.China;

Corresponding?author：

JIA Baocheng, Email: jiabaocheng@126.com

Keywords：

Thoracoscopy; minimally invasive cardiac surgery; congenital heart disease; ventricular septal defect

DOI：

10.7507/1007-4848.201904045

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Objective To summarize the experience of totally thoracoscopic cardiac surgery for ventricular septal defect.Methods Clinical data of 449 patients undergoing totally thoracoscopic cardiac surgery for ventricular septal defect from May 2008 to December 2018 in Shanghai Yodak Cardiothoracic Hospital were analyzed retrospectively. There were 232 male and 217 female patients, aged from 3 to 55 years with a mean age of 17.3±11.2 years.Results All the operations were completed successfully. Mean operative time was 2.4±0.3 h. The mean extracorporeal circulation time and aortic cross-clamp time was 64.2±11.6 min and 28.4±10.7 min, respectively. Mechanical ventilation time and intensive care unit stay was 6.9±3.8 h and 20.5±5.6 h, respectively. Postoperation drainage quantity was 213.1±117.2 mL. The hospital stay was 6.9±1.3 d. Intraoperative and postoperative complications occurred in 11 patients (2.4%), including 1 patient of intraoperative reoperation, 3 patients of reoperation for bleeding, 3 patients of the incision infection, 2 patients of small residual shunt, 1 patient of right femoral artery incision stenosis complicated by thromboembolism and 1 patient of right pleural cavity pneumothorax. The mean follow-up time was 72.2±33.9 months. During the period, there was no reoperation, but 2 patients of ventricular septal defect small residual shunt, 1 patient of mild-moderate mitral valve and 1 patient of mild-moderate aortic valve incompetence, respectively. During the period, heart function of the patients was NYHAⅠ-Ⅱ.Conclusion Totally thoracoscopic cardiac surgery for ventricular septal defect is a safe and effective treatment, with few serious complications, fast recovery for patients and good short to medium-term outcomes.

Citation： LAN Huai, CHENG Yunge, JIA Baocheng, CHAI Yuliang. Totally thoracoscopic closure of ventricular septal defect: A single-center clinical analysis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(2): 164-167. doi: 10.7507/1007-4848.201904045 Copy

1.	程云閣, 王躍軍, 張泉, 等. 完全胸腔鏡下體外循環心臟手術 674 例臨床分析. 中華外科雜志, 2007, 45(22): 1521-1523.
2.	Cheng Y, Cheng H, Mohl W, et al. Totally endoscopic congenital heart surgery compared with the traditional heart operation in children. Wien Klin Wochenschr, 2013, 125(21-22): 704-708.
3.	王躍軍, 程云閣, 王維俊, 等. 全胸腔鏡下手術治療先天性心臟病. 中國微創外科雜志, 2009, 9(5): 404-406.
4.	程云閣, 肖明第, 賈寶成, 等. 完全胸腔鏡下二尖瓣手術 272 例. 中華胸心血管外科雜志, 2012, 28(4): 198-199.
5.	蘭懷, 程云閣, 賈寶成, 等. 完全胸腔鏡下二尖瓣置換術 634 例臨床分析. 中華外科雜志, 2016, 54(8): 609-612.
6.	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.
7.	李俊紅, 木拉提, 阿布都乃比, 等. 全胸腔鏡與傳統開胸手術治療膜周部室間隔缺損的對比研究. 中國微創外科雜志, 2018, 18(6): 505-508.
8.	Yin QY, Ma ZS, Feng FY, et al. Postoperative anxiety and depression in patients undergoing thoracoscopic closure of congenitalheart defects. J Cardiovasc Nurs, 2012, 27(6): 547-552.
9.	蘭懷, 程云閣, 賈寶成, 等. 全胸腔鏡下房間隔缺損修補手術 442 例單中心臨床研究. 中國胸心血管外科臨床雜志, 2019. doi: 10.7507/1007-4848.201904044. [Epub ahead of print.
10.	徐學增, 石廣永, 陳亞武, 等. 全胸腔鏡下心房黏液瘤摘除術 44 例. 中華胸心血管外科雜志, 2012, 28(4): 205-206.
11.	程云閣, 肖明第, 賈寶成, 等. 全胸腔鏡左心房后入路射頻迷宮手術治療 32 例孤立性心房纖顫. 中華胸心血管外科雜志, 2012, 28(4): 203-204.
12.	程云閣, 俞世強, 段大為, 等. 胸腔鏡室間隔缺損修補術初步經驗. 嶺南心血管病雜志, 2003, 9(2): 105-106.
13.	易蔚, 雷蘭萍, 熊紅燕, 等. 胸腔鏡體外循環心臟手術團隊的培養模式及學習曲線研究. 中國體外循環雜志, 2018, 16(5): 302-306.

1. 程云閣, 王躍軍, 張泉, 等. 完全胸腔鏡下體外循環心臟手術 674 例臨床分析. 中華外科雜志, 2007, 45(22): 1521-1523.
2. Cheng Y, Cheng H, Mohl W, et al. Totally endoscopic congenital heart surgery compared with the traditional heart operation in children. Wien Klin Wochenschr, 2013, 125(21-22): 704-708.
3. 王躍軍, 程云閣, 王維俊, 等. 全胸腔鏡下手術治療先天性心臟病. 中國微創外科雜志, 2009, 9(5): 404-406.
4. 程云閣, 肖明第, 賈寶成, 等. 完全胸腔鏡下二尖瓣手術 272 例. 中華胸心血管外科雜志, 2012, 28(4): 198-199.
5. 蘭懷, 程云閣, 賈寶成, 等. 完全胸腔鏡下二尖瓣置換術 634 例臨床分析. 中華外科雜志, 2016, 54(8): 609-612.
6. 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.
7. 李俊紅, 木拉提, 阿布都乃比, 等. 全胸腔鏡與傳統開胸手術治療膜周部室間隔缺損的對比研究. 中國微創外科雜志, 2018, 18(6): 505-508.
8. Yin QY, Ma ZS, Feng FY, et al. Postoperative anxiety and depression in patients undergoing thoracoscopic closure of congenitalheart defects. J Cardiovasc Nurs, 2012, 27(6): 547-552.
9. 蘭懷, 程云閣, 賈寶成, 等. 全胸腔鏡下房間隔缺損修補手術 442 例單中心臨床研究. 中國胸心血管外科臨床雜志, 2019. doi: 10.7507/1007-4848.201904044. [Epub ahead of print.
10. 徐學增, 石廣永, 陳亞武, 等. 全胸腔鏡下心房黏液瘤摘除術 44 例. 中華胸心血管外科雜志, 2012, 28(4): 205-206.
11. 程云閣, 肖明第, 賈寶成, 等. 全胸腔鏡左心房后入路射頻迷宮手術治療 32 例孤立性心房纖顫. 中華胸心血管外科雜志, 2012, 28(4): 203-204.
12. 程云閣, 俞世強, 段大為, 等. 胸腔鏡室間隔缺損修補術初步經驗. 嶺南心血管病雜志, 2003, 9(2): 105-106.
13. 易蔚, 雷蘭萍, 熊紅燕, 等. 胸腔鏡體外循環心臟手術團隊的培養模式及學習曲線研究. 中國體外循環雜志, 2018, 16(5): 302-306.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Totally thoracoscopic closure of ventricular septal defect: A single-center clinical analysis

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