Department of Cardiovascular Surgery, Toyohashi Heart Center, Toyohashi, Japan.
Heart Surg Forum. 2021 Nov 17;24(6):E950-E951. doi: 10.1532/hsf.4195.
Although minimally invasive direct coronary artery bypass (MIDCAB) is a less invasive procedure, internal thoracic artery (ITA) harvesting is difficult. A 65-year-old woman was advised to undergo MIDCAB for recurrent in-stent restenosis. We harvested the ITA using three-dimensional endoscopy without robotics and determined the scope position using enhanced computed tomography. We changed the camera installation between the wound and the camera port, according to the harvesting site with a harmonic scalpel using the skeletonized technique. We harvested the ITA from the subclavian vein level superiorly to the xyphoid process level inferiorly.
虽然微创直接冠状动脉旁路移植术（MIDCAB）是一种侵袭性较小的手术，但内乳动脉（ITA）的采集较为困难。一位 65 岁女性因支架内再狭窄复发被建议接受 MIDCAB 手术。我们使用三维内窥镜而非机器人技术采集 ITA，并使用增强计算机断层扫描确定范围位置。我们使用骨骼化技术和超声刀在锁骨下静脉水平至剑突水平之间的采集部位改变了摄像安装位置和摄像端口位置。
