Estrera A L, Reardon M J
Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
Curr Opin Cardiol. 2000 Mar;15(2):91-5. doi: 10.1097/00001573-200003000-00005.
Minimally invasive as it applies to aortic valve surgery refers to the exposure required to perform the aortic procedure, because total cardiopulmonary bypass is still required. Initial experience used the anterior thoracotomy, but recent series report the ministernotomy or "J" incision as the preferred technique for exposure. Though pain, blood loss, and length of stay may not be significantly different when compared with the conventional technique, lower costs and earlier recovery may be achieved. Minimally invasive aortic valve surgery is a technique that is still evolving.
适用于主动脉瓣手术的微创是指进行主动脉手术所需的暴露方式，因为仍需要进行全心肺转流。最初的经验采用前外侧开胸术，但最近的系列报道显示，胸骨上段小切口或“J”形切口是更可取的暴露技术。与传统技术相比，尽管疼痛、失血和住院时间可能没有显著差异，但可以降低成本并实现更早康复。微创主动脉瓣手术仍是一种不断发展的技术。
