Gallego-Poveda Javier, Guerra Nuno Carvalho, Gonzalez-Rivas Diego, Carvalheiro Catarina, Ferreira Hugo, Sena André, Junqueira Nádia, Velho Tiago Rodrigues, Nobre Ângelo
Cardiothoracic Surgical Department, Santa Maria University Hospital, Lisbon, Portugal.
J Thorac Dis. 2017 Apr;9(4):898-902. doi: 10.21037/jtd.2017.02.07.
Cardiac surgery is almost universally performed through a median sternotomy, an approach which is painful, unestethical, and prone to life-threatening infections. Minimally invasive cardiac surgery has tried to avoid problems associated with full sternotomy for many years. Recently, uniportal thoracic surgery was shown to be very advantageous when compared to standard thoracotomy and classical video assisted thoracic surgery (VATS). Despite very good results in lung surgery, cardiac surgery through a single thoracic port has rarely been attempted and successfully conducted. The authors present the rational, the technique, and their experience in cardiac single thoracic port surgery (CSTPS).
心脏手术几乎都是通过正中胸骨切开术进行的，这种方法既痛苦又不符合伦理，而且容易引发危及生命的感染。多年来，微创心脏手术一直试图避免与完全胸骨切开术相关的问题。最近，与标准开胸手术和传统电视辅助胸腔镜手术（VATS）相比，单孔胸腔手术显示出非常大的优势。尽管在肺部手术中取得了很好的效果，但通过单个胸壁切口进行心脏手术很少有人尝试且成功实施。作者介绍了心脏单孔胸腔手术（CSTPS）的原理、技术及经验。
