Rachwalik Maciej, Płonek Tomasz, Kustrzycki Wojciech, Szyber Przemysław, Pawłowski Stanisław, Goździk Waldemar
Department and Clinic of Cardiac Surgery, Medical University of Wrocław, Poland.
Wideochir Inne Tech Maloinwazyjne. 2013 Mar;8(1):86-9. doi: 10.5114/wiitm.2011.31596. Epub 2012 Nov 6.
We present the clinical case of a 63-year-old patient who underwent in the Department of Cardiac Surgery implantation of an aorto-bifemoral graft prosthesis and coronary artery bypass revascularization with application of less invasive off-pump technique. Graft selection (arterial grafts, venous grafts) is very important during qualification for coronary artery bypass revascularization. Minimally invasive saphenous vein harvesting was performed during the presented case. The endoscopic technique of vein harvesting is a relatively rarely applied technique during myocardial revascularization surgery. The concept of minimally invasive videoscopic technique is presented. There is a discussion on why the team decided to prolong duration of the case consisting of two major operations performed simultaneously. Minimally invasive videoscopic technique may have a significant positive impact on postoperative outcome in a selected group of patients.
我们介绍了一名63岁患者的临床病例，该患者在心脏外科接受了主动脉-双股动脉移植假体植入术以及采用微创非体外循环技术进行的冠状动脉搭桥血运重建术。在冠状动脉搭桥血运重建术的评估过程中，移植物的选择（动脉移植物、静脉移植物）非常重要。在本病例中采用了微创大隐静脉采集术。静脉采集的内镜技术在心肌血运重建手术中是一种应用相对较少的技术。本文介绍了微创视频技术的概念。讨论了为何团队决定延长由同时进行的两台大手术组成的病例的手术时间。微创视频技术可能对特定患者群体的术后结果产生显著的积极影响。
