Ogawa Hironaga, Fukuda Hirotsugu
Department of Cardiovascular Surgery, Dokkyo Medical University, Tochigi, Japan.
Kyobu Geka. 2019 Sep;72(10):749-751.
Median sternotomy is a basic procedure in the cardiovascular surgery. Minimally invasive surgery (MICS) develops and becomes able to accomplish various operation on the cardiovascular surgery, but it cannot carry out all maneuvers. Medline incision is inferior at beauty and infection control than MICS. But medianstenotomy is still used widely. It's provided good field of vision and the incision method that evade the complexity of the operation. It is vital to carry it out surely and carefully so that there are not later complications by mediansternotomy. It is necessary to be careful about the right ventricle injury the case of the redo-sternotomy.
正中胸骨切开术是心血管外科的一项基本手术。微创手术(MICS)不断发展并能够完成心血管外科的各种手术,但它无法执行所有操作。与MICS相比,经胸乳切口在美观和感染控制方面较差。但正中胸骨切开术仍被广泛使用。它提供了良好的视野,并且是一种规避手术复杂性的切口方法。确保安全、仔细地进行该手术至关重要,这样才能避免正中胸骨切开术带来的后期并发症。在再次胸骨切开术的情况下,必须小心右心室损伤。