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[机器人二尖瓣修复术的早期临床结果;最初的20例病例]

[Early Clinical Outcomes of Robotic Mitral Valve Repair;Initial Twenty Cases].

作者信息

Ohori Shusnuke, Morimoto Kiyotaka, Suzuki Masato, Ito Toshiro, Yokoyama Hideo, Sugiki Kenji, Ohkawa Youhei

机构信息

Cardiovascular Surgery, Hokkaido Ohno Memorial Hospital, Sapporo, Japan.

出版信息

Kyobu Geka. 2020 Jul;73(7):523-528.

Abstract

We report the early results of our initial 20 consecutive robotic-assisted mitral valve repairs at our institution. A total of 20 patients (aged 55±10 years, 15 males) underwent robotic assisted mitral repairs by using da Vinci system. Successful mitral valve repairs were done in all cases. All patients received an annuloplasty band. Triangular resection were done in 2 cases and artificial chordae were used in 18 cases. There was no conversion to sternotomy intraoperatively. Three cases needed recross-clamping because of mitral regurgitation, mitral stenosis and the problem of venous canula. Cardiopulmonary bypass time and aortic cross-clamp time were 272±56 minutes, 153±41 minutes. There were no hospital mortality and major complications. Post-pump echocardiograms showed no/trivial mitral regurgitation in all cases. Robotic-assisted mitral valve repairs were done safely and the early results were acceptable in our series.

摘要

我们报告了我院连续进行的首例20例机器人辅助二尖瓣修复术的早期结果。共有20例患者(年龄55±10岁,男性15例)使用达芬奇系统接受了机器人辅助二尖瓣修复术。所有病例均成功完成二尖瓣修复。所有患者均接受了瓣环成形带。2例行三角形切除,18例行人工腱索植入。术中无一例转为胸骨正中切开术。3例因二尖瓣反流、二尖瓣狭窄和静脉插管问题需要再次阻断。体外循环时间和主动脉阻断时间分别为272±56分钟、153±41分钟。无住院死亡及严重并发症。术后超声心动图显示所有病例均无/微量二尖瓣反流。在我们的系列研究中,机器人辅助二尖瓣修复术安全可行,早期结果良好。

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