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

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7.	李俊红, 木拉提, 阿布都乃比, 等. 全胸腔镜与传统开胸手术治疗膜周部室间隔缺损的对比研究. 中国微创外科杂志, 2018, 18(6): 505-508.
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9.	兰怀, 程云阁, 贾宝成, 等. 全胸腔镜下房间隔缺损修补手术 442 例单中心临床研究. 中国胸心血管外科临床杂志, 2019. doi: 10.7507/1007-4848.201904044. [Epub ahead of print.
10.	徐学增, 石广永, 陈亚武, 等. 全胸腔镜下心房黏液瘤摘除术 44 例. 中华胸心血管外科杂志, 2012, 28(4): 205-206.
11.	程云阁, 肖明第, 贾宝成, 等. 全胸腔镜左心房后入路射频迷宫手术治疗 32 例孤立性心房纤颤. 中华胸心血管外科杂志, 2012, 28(4): 203-204.
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13.	易蔚, 雷兰萍, 熊红燕, 等. 胸腔镜体外循环心脏手术团队的培养模式及学习曲线研究. 中国体外循环杂志, 2018, 16(5): 302-306.

1. 程云阁, 王跃军, 张泉, 等. 完全胸腔镜下体外循环心脏手术 674 例临床分析. 中华外科杂志, 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. 王跃军, 程云阁, 王维俊, 等. 全胸腔镜下手术治疗先天性心脏病. 中国微创外科杂志, 2009, 9(5): 404-406.
4. 程云阁, 肖明第, 贾宝成, 等. 完全胸腔镜下二尖瓣手术 272 例. 中华胸心血管外科杂志, 2012, 28(4): 198-199.
5. 兰怀, 程云阁, 贾宝成, 等. 完全胸腔镜下二尖瓣置换术 634 例临床分析. 中华外科杂志, 2016, 54(8): 609-612.
6. 徐学增, 易蔚, 李华, 等. 单中心全胸腔镜微创手术治疗先天性心脏病 2543 例临床分析. 中华外科杂志, 2016, 54(8): 591-595.
7. 李俊红, 木拉提, 阿布都乃比, 等. 全胸腔镜与传统开胸手术治疗膜周部室间隔缺损的对比研究. 中国微创外科杂志, 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. 兰怀, 程云阁, 贾宝成, 等. 全胸腔镜下房间隔缺损修补手术 442 例单中心临床研究. 中国胸心血管外科临床杂志, 2019. doi: 10.7507/1007-4848.201904044. [Epub ahead of print.
10. 徐学增, 石广永, 陈亚武, 等. 全胸腔镜下心房黏液瘤摘除术 44 例. 中华胸心血管外科杂志, 2012, 28(4): 205-206.
11. 程云阁, 肖明第, 贾宝成, 等. 全胸腔镜左心房后入路射频迷宫手术治疗 32 例孤立性心房纤颤. 中华胸心血管外科杂志, 2012, 28(4): 203-204.
12. 程云阁, 俞世强, 段大为, 等. 胸腔镜室间隔缺损修补术初步经验. 岭南心血管病杂志, 2003, 9(2): 105-106.
13. 易蔚, 雷兰萍, 熊红燕, 等. 胸腔镜体外循环心脏手术团队的培养模式及学习曲线研究. 中国体外循环杂志, 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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