微创胸廓内动脉获取：混合式方法。
Minimally invasive internal thoracic artery harvest: the hybrid approach.
作者信息
Massetti M, Babatasi G, Nataf P, Bhoyroo S, Le Page O, Khayat A
机构信息
Thoracic and Cardiovascular Surgery, University Hospital, Caen, France.
出版信息
Ann Thorac Surg. 1999 Mar;67(3):632-4. doi: 10.1016/s0003-4975(98)01253-3.
BACKGROUND
Safe harvesting of the left internal thoracic artery is a difficult problem during minimally invasive coronary artery bypass grafting without cardiopulmonary bypass. A complete internal thoracic artery dissection through a limited approach is technically demanding and time consuming and different techniques have been proposed.
METHODS AND RESULTS
Based on our experience, the different surgical approaches and technical considerations are reviewed.
CONCLUSIONS
A hybrid technique using dissection under direct vision and completed by thoracoscopy is discussed and proposed as our preferred technique of internal thoracic artery harvesting.
背景
在非体外循环下微创冠状动脉旁路移植术中，安全获取左胸廓内动脉是一个难题。通过有限的入路完整游离胸廓内动脉技术要求高且耗时，已有多种技术被提出。
方法与结果
基于我们的经验，对不同的手术入路和技术要点进行了综述。
结论
讨论并提出一种在直视下解剖并由胸腔镜完成的杂交技术，作为我们首选的胸廓内动脉获取技术。
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