Kumar Pawan, Jadhav Uday E, Tendolkar Anil G
Department of Cardiovascular and Thoracic Surgery, Lokmanya Tilak Municipal General Hospital, Sion, Mumbai, India.
Ann Thorac Surg. 2006 Jun;81(6):2326-7. doi: 10.1016/j.athoracsur.2005.03.066.
We describe a novel technique for lung retraction during dissection of the internal mammary artery for its use in coronary artery bypass grafting. The lung is retracted using the blades of the Octopus (Medtronic Inc, Minneapolis, MN) suction stabilizer, without the suction connected. This technique can be used when the internal mammary artery is harvested by widely opening the pleura or by the extrapleural approach. This technique makes mammary artery dissection easy, and it can be used for harvesting internal mammary arteries bilaterally. The method described is simple, causes no impairment in gas exchange, and offers no additional expense, because the same stabilizer would be used later for the off-pump coronary artery bypass surgery.
我们描述了一种在解剖乳内动脉用于冠状动脉搭桥手术时进行肺回缩的新技术。使用章鱼（美敦力公司，明尼阿波利斯，明尼苏达州）吸引稳定器的叶片在不连接吸引的情况下回缩肺。当通过广泛打开胸膜或经胸膜外途径获取乳内动脉时可使用该技术。该技术使乳内动脉解剖变得容易，并且可用于双侧获取乳内动脉。所描述的方法简单，不会损害气体交换，也不会产生额外费用，因为稍后同一稳定器将用于非体外循环冠状动脉搭桥手术。
