Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
Supervisor：Ministry of Education of People’s Republic of ChinaSponsor：Sichuan University Editor-in-chief：Liu Lunxu Publishing period：
Monthly
ISSN：1007-4848CN：51-1492/R
Objective To compare the surgical effects of total endoscopy and right thoracic small-incision for atrial septal defect repair.Methods The clinical data of 60 patients undergoing atrial septal defect repair in our hospital in 2019 under cardiopulmonary bypass (CPB) were collected. The patients were divided into two groups according to different surgical methods: a right thoracic small-incision group (n=31), including 11 males and 20 females, aged 44.5±11.5 years; a thoracoscopic surgery group (n=29), including 12 males and 17 females, aged 46.5±12.7 years. The clinical data were compared between the two groups.Results The baseline data of the patients were not statistically different (P>0.05). The surgeries were successfully completed in the two groups of patients. The volume of chest drainage in 24 h after the surgery (59.1±43.9 mL vs. 91.0±72.9 mL, P=0.046), red blood cell input (78.0±63.9 mL vs. 121.0±88.7 mL, P=0.036), length of postoperative hospital stay (5.5±2.1 d vs. 7.2±2.1 d, P=0.003), postoperative complications rate (6.9% vs. 22.6%, P=0.029) in the thoracoscopic surgery group were significantly better than those in the right thoracic small-incision group. There was no significant difference in the CPB time, aorta blocking time, operation time, mechanical ventilation time, ICU retention time or postoperative pain score between the two groups (P>0.05).Conclusion The two techniques are safe and effective. Patients undergoing thoracoscopic repair of atrial septal defect have small trauma, short postoperative hospital stay, mild pain, beautiful incision, and no bone damage, which is worthy of clinical promotion.
Citation：LIU Lin, CHEN Tianyuan, BAO Jie. The surgical effects of total endoscopy and right thoracic small-incision for atrial septal defect repair: A retrospective cohort study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(4): 463-466. doi: 10.7507/1007-4848.202008035Copy
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Ma ZS, Wang JT, Dong MF, et al. Thoracoscopic closure of ventricular septal defect in young children: Technical challenges and solutions. Eur J Cardiothorac Surg, 2012, 42(6): 976-979.
2. Xu M, Zhu S, Wang X, et al. Two different minimally invasive techniques for female patients with atrial septal defects: Totally thoracoscopic technique and right anterolateral thoracotomy technique. Ann Thorac Cardiovasc Surg, 2015, 21(5): 459-465.
3. Zhe Z, Kun H, Xuezeng X, et al. Totally thoracoscopic versus open surgery for closure of atrial septal defect: Propensity-score matched comparison. Heart Surg Forum, 2014, 17(4): E227-E231.
4. Bouhout I, Morgant MC, Bouchard D. Minimally invasive heart valve surgery. Can J Cardiol, 2017, 33(9): 1129-1137.
11. Poffo R, Montanhesi PK, Toschi AP, et al. Periareolar access for minimally invasive cardiac surgery: The Brazilian technique. Innovations (Phila), 2018, 13(1): 65-69.
12. Maruszewski M, Smoczyński R, Kowalewski M, et al. Pilot study of totally thoracoscopic periareolar approach for minimally invasive mitral valve surgery. Towards even less invasive? Wideochir Inne Tech Maloinwazyjne, 2019, 14(2): 326-332.
13. Van Praet KM, Stamm C, Sündermann SH, et al. Minimally invasive surgical mitral valve repair: State of the art review. Interv Cardiol, 2018, 13(1): 14-19.
14. Cheng Y, Chen 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.
15. Ma ZS, Wang JT, Dong MF, et al. Thoracoscopic closure of ventricular septal defect in young children: Technical challenges and solutions. Eur J Cardiothorac Surg, 2012, 42(6): 976-979.
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Citation：LIU Lin, CHEN Tianyuan, BAO Jie. The surgical effects of total endoscopy and right thoracic small-incision for atrial septal defect repair: A retrospective cohort study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(4): 463-466. doi: 10.7507/1007-4848.202008035
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