成人完全机器人辅助房室间隔缺损修复术
Totally robotic repair of atrioventricular septal defect in the adult.
作者信息
Gao Changqing, Yang Ming, Xiao Cangsong, Zhang Huajun
机构信息
Department of Cardiovascular Surgery, Institute of Cardiac Surgery, PLA General Hospital, 28 Fuxing Road, Beijing, 100853, China.
出版信息
J Cardiothorac Surg. 2015 Nov 6;10:156. doi: 10.1186/s13019-015-0358-y.
BACKGROUND
Atrioventricular septal defect (AVSD) accounts for up to 3 % of congenital cardiac defects, which is routinely repaired via median sternotomy. Minimally invasive approach such as endoscopic or robotic assisted repair for AVSD has not been reported in the literature. With the experience with robotic mitral valve surgery and congenital defect repair, we initiated robotic AVSD repair in adults.
CASE PRESENTATION
In this report, we presented three cases of successful repair of partial and intermediate AVSD by using da Vinci SI surgical system (Intuitive Surgical, Inc., Sunnyvale, CA).
CONCLUSIONS
Totally robotic AVSD repair via right atriotomy could be safely performed in adults and it may provide superior cosmesis with the comparable surgical outcome of the repair via sternotomy.
背景
房室间隔缺损（AVSD）占先天性心脏缺陷的比例高达3%，通常通过正中胸骨切开术进行修复。文献中尚未报道过诸如内镜或机器人辅助修复AVSD的微创方法。基于机器人二尖瓣手术和先天性缺陷修复的经验，我们开展了成人机器人AVSD修复术。
病例报告
在本报告中，我们展示了三例使用达芬奇SI手术系统（直观外科公司，加利福尼亚州桑尼维尔）成功修复部分性和中间性AVSD的病例。
结论
经右心房切开术进行全机器人AVSD修复术在成人中可安全实施，并且与胸骨切开术修复相比，在手术效果相当的情况下，它可能具有更好的美容效果。
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