Hirata Yasutaka, Hirahara Norimichi, Murakami Arata, Motomura Noboru, Miyata Hiroaki, Takamoto Shinichi
Japan Cardiovascular Surgery Database, 2-26-9 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
Department of Cardiac Surgery, The University of Tokyo School of Medicine, Tokyo, Japan.
Gen Thorac Cardiovasc Surg. 2018 Jan;66(1):4-7. doi: 10.1007/s11748-017-0841-6. Epub 2017 Nov 13.
We analyzed the mortality and morbidity of congenital heart surgery in Japan using the Japan Cardiovascular Surgery Database (JCVSD).
Data regarding congenital heart surgery performed between January 2013 and December 2014 were obtained from JCVSD. The 20 most frequent procedures were selected and the mortality rates and major morbidities were analyzed.
The mortality rates of atrial septal defect repair and ventricular septal defect repair were less than 1%, and the mortality rates of tetralogy of Fallot repair, complete atrioventricular septal defect repair, bidirectional Glenn, and total cavopulmonary connection were less than 2%. The mortality rates of the Norwood procedure and total anomalous pulmonary venous connection repair were more than 10%. The rates of unplanned reoperation, pacemaker implantation, chylothorax, deep sternal infection, phrenic nerve injury, and neurological deficit were shown for each procedure.
Using JCVSD, the national data for congenital heart surgery, including postoperative complications, were analyzed. Further improvements of the database and feedback for clinical practice are required.
我们使用日本心血管外科数据库（JCVSD）分析了日本先天性心脏病手术的死亡率和发病率。
从JCVSD获取2013年1月至2014年12月期间进行的先天性心脏病手术数据。选取20种最常见的手术方式，分析其死亡率和主要并发症。
房间隔缺损修补术和室间隔缺损修补术的死亡率低于1%，法洛四联症修补术、完全房室间隔缺损修补术、双向格林分流术和全腔静脉肺动脉连接术的死亡率低于2%。诺伍德手术和完全性肺静脉异位连接修补术的死亡率超过10%。展示了每种手术方式的非计划性再次手术、起搏器植入、乳糜胸、深部胸骨感染、膈神经损伤和神经功能缺损的发生率。
利用JCVSD对先天性心脏病手术的全国数据进行了分析，包括术后并发症。需要进一步完善数据库并为临床实践提供反馈。
