Lund Jens Teglgaard
Thoraxkirurgisk Afdeling RT, H:S Rigshospitalet, DK-2100 København Ø.
Ugeskr Laeger. 2003 Mar 24;165(13):1358-60.
Minimally invasive aortic valve surgery is performed in many centres worldwide with low mortality and morbidity. In this article the initial experience from Rigshospitalet, the Copenhagen Universital Hospital, is described.
From September 2001 to March 2002, a total of 11 patients underwent isolated aortic valve replacement using a minimally invasive technique. The procedure was performed through an eight centimeter skin incision and an upper partial sternotomy. The mean age of the patients was 60 years (range 38 to 85 years).
No patients required conversion to full sternotomy. There was no mortality. One patient needed reoperation for bleeding. Three patients developed pericardial effusion postoperatively. No other serious complications were observed.
Minimally invasive aortic valve surgery can be performed with a minimal invasive technique in selected patients. The cosmetical result is attractive to the patient and several advantages have been described including less surgical trauma, less bleeding, decreased pain, improved recovery of the respiratory function, reduced risk of sternal complications, shorter hospital stay, and faster rehabilitation.
全球许多中心都开展了微创主动脉瓣手术，其死亡率和发病率较低。本文介绍了哥本哈根大学医院里格霍斯皮塔尔的初步经验。
2001年9月至2002年3月，共有11例患者采用微创技术进行了单纯主动脉瓣置换术。手术通过一个8厘米的皮肤切口和上部部分胸骨切开术进行。患者的平均年龄为60岁（范围38至85岁）。
没有患者需要转为全胸骨切开术。无死亡病例。1例患者因出血需要再次手术。3例患者术后出现心包积液。未观察到其他严重并发症。
对于选定的患者，微创主动脉瓣手术可以采用微创技术进行。美容效果对患者有吸引力，并且已经描述了几个优点，包括手术创伤更小、出血更少、疼痛减轻、呼吸功能恢复改善、胸骨并发症风险降低、住院时间缩短和康复更快。
