Our Initial Experience of Minimally Invasive Cardiac Surgical Procedures Via Right Mini-Thoracotomy

Yıl 2018, Cilt: 21 Sayı: 2, 157 - 162, 19.08.2018

Mehmet Aksüt Tanıl Özer Özge Altaş Yerlikhan Emre Selçuk Mehmed Yanartaş

Öz

Introduction: The aim of
this study is to present the results of patients undergoing atrial septal
defect (ASD) repair and mitral valve replacement (MVR) via right
mini-thoracotomy and to share the initial experience of minimally invasive
cardiac surgical procedures.

Patients and Methods:
Preoperative,
intraoperative, and postoperative data of patients undergoing ASD repair and
MVR via right mini-thoracotomy between November 2016 and November 2017 were
retrospectively reviewed.

Results: During
the study period, 22 patients were planned right mini-thoracotomy. The mean age
of the patients was 30.4 ± 10.6 years (range, 18-73). Over 22, 3 patients
underwent unplanned median sternotomy. Of the remaining 19 patients, 14
patients underwent ASD repair and 5 patients underwent MVR; all successfully
via right mini-thoracotomy.

Conclusion: Minimally invasive
procedures are characterized by low postoperative complication rate, short
intensive care time, early recovery period and high patient comfort. These
procedures can be safely performed by operators who are in the initial stages
of their minimal invasive surgery learning curve.

Anahtar Kelimeler

Atrial septal defect, mitral valve replacement, thoracotomy, minimally invasive surgical procedures

Sağ Mini Torakotomi ile Gerçekleştirilen Minimal İnvaziv Kalp Cerrahisi Prosedürlerinde Başlangıç Tecrübelerimiz

Öz

Giriş: Bu çalışmanın amacı, sağ mini torakotomi ile atrial
septal defekt onarımı (ASD) ve mitral kapak replasmanı (MVR) yapılan hastaların
sonuçlarını sunmak; minimal invaziv kardiyak cerrahi prosedürler ile ilgili
erken dönem deneyimlerimizi paylaşmaktır.

Hastalar ve Yöntem: Kasım 2016 ila Kasım 2017 tarihleri
arasında sağ mini torakotomi ile ASD onarımı ve MVR amacıyla operasyona alınan
tüm hastalar çalışmaya dahil edildi. Hastaların preoperatif, intraoperatif ve
postoperatif verileri retrospektif olarak incelendi.

Bulgular: Çalışma sürecinde toplam 22 hastaya sağ mini torakotomi
ile girişim planlandı. Hastaların yaşları 18 ila 73 arasında olup, ortalama
30.4 ± 10.6 yıldı. Toplam 3 (%13.6) hastada önceden planlanmayan sternotomi
ihtiyacı oldu. Geri kalan 14 hastaya ASD onarımı, 5 hastaya MVR yapıldı.

Sonuç: Minimal invaziv
prosedürler düşük postoperatif komplikasyon oranı, kısa yoğun bakım süresi,
erken taburculuk oranları ile  yüksek
hasta konforu sağlamaktadırlar. Bununla birlikte uzun kardiyopulmoner baypas ve
kross klemp süreleri işlemin devantajı olarak değerlendirilmiştir. Bu
operasyonlar başlangıç aşamasında olan operatörler  tarafından güvenle uygulanabilmektedirler.

Anahtar Kelimeler

Atriyal septal defekt, mitral kapak, torakotomi, minimal invaziv cerrahi işlemler

Kaynakça

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