微创胸腔镜手术是治疗二尖瓣疾病的新基准吗？
Is minimally invasive thoracoscopic surgery the new benchmark for treating mitral valve disease?
作者信息
Goldstone Andrew B, Woo Y Joseph
机构信息
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
出版信息
Ann Cardiothorac Surg. 2016 Nov;5(6):567-572. doi: 10.21037/acs.2016.03.18.
Abstract
The treatment of mitral valve disease remains dynamic; surgeons and patients must now choose between many different surgical options when addressing mitral regurgitation and mitral stenosis. Notably, advances in imaging and surgical instrumentation allow surgeons to perform less invasive mitral valve surgery that spares the sternum. With favorable long-term data now emerging, we compare the benefits and risks of thoracoscopic mitral valve surgery with that through conventional sternotomy or surgery that is robot-assisted.
摘要
二尖瓣疾病的治疗仍在不断发展；如今，外科医生和患者在处理二尖瓣反流和二尖瓣狭窄时，必须在多种不同的手术选择之间做出抉择。值得注意的是，成像技术和手术器械的进步使外科医生能够开展创伤较小的二尖瓣手术，避免劈开胸骨。随着有利的长期数据不断涌现，我们比较了胸腔镜二尖瓣手术与传统胸骨切开术或机器人辅助手术的利弊。
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