Kaneda Toshio, Nishino Takako, Saga Toshihiko, Nakamoto Susumu, Ogawa Tatsuya, Satsu Takuma
Department of Cardiovascular Surgery, Kinki University School of Medicine, Osaka-Sayama City, Osaka, Japan.
Interact Cardiovasc Thorac Surg. 2013 Apr;16(4):544-6. doi: 10.1093/icvts/ivs544. Epub 2013 Jan 4.
Port-access cardiac surgery has been developed to minimize skin incision and improve cosmetic outcomes. Using this method, a skin incision is generally made just above where the thoracotomy will be placed, horizontally along the intercostal space at the anterolateral submammary position. However, this type of incision can affect the frontal view and shape of the breast. Here, we report our experience with minimally invasive cardiac surgery using a port-access approach via a small vertical right infra-axillary incision and a moving window method. Twenty patients underwent surgical procedures with this approach from December 2010 to January 2012. Thirteen patients underwent mitral valvuloplasty, four mitral valve replacement, one mitral and tricuspid valve replacement and atrial septal defect closure and two atrial septal defect closure. All surgical procedures were completed using this minimally invasive method. All patients had an uneventful recovery and indicated that they were satisfied with the cosmetic results during the follow-up. Our experience suggests that this technique can effectively minimize skin incision and improve cosmetic outcomes.
端口入路心脏手术已被开发出来，以尽量减少皮肤切口并改善美容效果。使用这种方法时，通常在开胸手术部位上方水平沿乳房下前外侧肋间空间做一个皮肤切口。然而，这种类型的切口会影响乳房的正面外观和形状。在此，我们报告我们使用经右腋下小垂直切口和移动窗口方法的端口入路进行微创心脏手术的经验。2010年12月至2012年1月，20例患者采用这种方法接受了手术。13例患者接受了二尖瓣成形术，4例接受了二尖瓣置换术，1例接受了二尖瓣和三尖瓣置换术及房间隔缺损修补术，2例接受了房间隔缺损修补术。所有手术均使用这种微创方法完成。所有患者恢复顺利，并表示在随访期间对美容效果满意。我们的经验表明，这种技术可以有效地减少皮肤切口并改善美容效果。
