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[微创心脏与二尖瓣手术]

[Minimally invasive heart and mitral valve surgery].

作者信息

Kamler Markus, Wendt Daniel, Pul Unsal, Thielmann Matthias, Buck Thomas, Kottenberg Eva, Erbel Raimund, Jakob Heinz

机构信息

Klinik für Thorax- und Kardiovaskuläre Chirurgie, Westdeutsches Herzzentrum Essen, Universitätsklinikum der Universität Duisburg-Essen, Duisburg-Essen, Germany.

出版信息

Herz. 2009 Sep;34(6):436-42. doi: 10.1007/s00059-009-3282-x.

Abstract

During the last decades, minimally invasive operative techniques have been established in various subspecialties of modern cardiac surgery, offering now safe and efficient alternative treatment options for most of the patients. Those new and innovative options thereby aimed to reduce the operative trauma and perioperative morbidity, and furthermore, to increase patients' satisfaction and optimize patients' security. After continuous enhancement of these minimally invasive techniques during the last 10 years, numerous current reports demonstrate minimally invasive cardiac surgery techniques to be safe and efficient, resulting in equal or even better mortality and morbidity compared to conventional cardiac surgery. The underlying benefits of minimally invasive cardiac surgery are characterized by shorter hospital stay, less postoperative pain, accelerated rehabilitation, and superior cosmetic results. Minimally invasive treatment options in cardiac surgery should always be considered for suitable patients.

摘要

在过去几十年里,现代心脏外科的各个亚专业都建立了微创操作技术,现在为大多数患者提供了安全有效的替代治疗选择。这些新的创新选择旨在减少手术创伤和围手术期发病率,此外,提高患者满意度并优化患者安全性。在过去10年中,这些微创技术不断改进,目前大量报告表明,与传统心脏手术相比,微创心脏手术技术安全有效,死亡率和发病率相同甚至更低。微创心脏手术的潜在益处包括住院时间缩短、术后疼痛减轻、康复加速以及美容效果更佳。对于合适的患者,应始终考虑心脏外科的微创治疗选择。

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