经胸骨下段小切口房间隔缺损封堵术在儿童中的应用。

Atrial Septal Defect Closure via Ministernotomy in Children.

机构信息

Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Vic, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Vic, Australia; Heart Research Group, Murdoch Children's Research Institute, Melbourne, Vic, Australia; Melbourne Centre for Cardiovascular Genomics and Regenerative Medicine, Melbourne, Vic, Australia.

出版信息

Heart Lung Circ. 2021 Sep;30(9):e98-e100. doi: 10.1016/j.hlc.2021.03.270. Epub 2021 Apr 22.

DOI:10.1016/j.hlc.2021.03.270

PMID:33896705

Abstract

Atrial septal defect (ASD) closure is usually performed in children via a conventional sternotomy. In striving to improve the cosmetic result, we have adopted a lower ministernotomy approach with a very small skin incision. We present a single surgeon experience of 110 consecutive patients undergoing surgical closure of ASD, comparing conventional (n=55) and mini-sternotomy (n=55) approaches. Our ministernotomy technique avoids direct superior vena cava cannulation, allowing for a smaller incision, while providing adequate exposure. The ministernotomy approach is safe and provides an excellent cosmetic result.

摘要

房间隔缺损（ASD）的闭合术通常通过传统的胸骨切开术在儿童中进行。为了改善美容效果，我们采用了低位小胸骨切开术，切口非常小。我们介绍了一位外科医生的经验，该经验涉及 110 例连续接受 ASD 手术闭合的患者，比较了传统方法（n=55）和小胸骨切开术（n=55）方法。我们的小胸骨切开术技术避免了直接上腔静脉插管，从而可以进行更小的切口，同时提供足够的暴露。小胸骨切开术方法是安全的，并可获得极佳的美容效果。