机器人修复房间隔缺损伴部分肺静脉回流异常：我们的 5 年经验。

Robotic repair of atrial septal defect with partial pulmonary venous return anomaly: Our 5 year experience.

机构信息

Department of Cardiovascular Surgery, Gulhane Medical Faculty, Ankara, Turkey.

Department of Anesthesiology, Gulhane Medical Faculty, Ankara, Turkey.

出版信息

Int J Med Robot. 2022 Aug;18(4):e2395. doi: 10.1002/rcs.2395. Epub 2022 Mar 24.

DOI:10.1002/rcs.2395

PMID:35315216

Abstract

INTRODUCTION

Partial pulmonary venous return anomalies (PPVRA) were not considered as a good candidate for robotic surgery in early time of robotic cardiac surgery. In this study, we present our experience in patients undergoing robotic atrial septal defect (ASD) and PPVRA surgery.

METHODS

Between November 2014 and January 2020, data of 21 patients underwent robotic ASD with PPVRA was collected. Inclusion criterion was presence of right-sided PPVRA with ASD. All operations were performed robotically.

RESULTS

The mean age of patients was 26.7 ± 10.3 years. Seventeen patients (81%) had superior-caval ASD with supracardiac PPVRA and double-patch technique was used. Four patients had inferior-caval ASD with intracardiac PPVRA and single-patch technique was preferred. Cross-clamp time and cardiopulmonary bypass time were 92.8 ± 29.6 and 127.8 ± 38.1, respectively. There was no mortality. One patient had atrioventricular-block and required pacemaker.

CONCLUSION

Robotic repair of ASD with PPVRA is feasible and effective method as an alternative to conventional surgery.

摘要

简介

在机器人心脏手术的早期，部分肺静脉回流异常（PPVRA）并不被认为是机器人手术的合适适应证。在本研究中，我们介绍了我们在接受机器人房间隔缺损（ASD）和 PPVRA 手术的患者中的经验。

方法

2014 年 11 月至 2020 年 1 月，我们收集了 21 例行机器人 ASD 合并 PPVRA 手术的患者数据。纳入标准为存在右侧 PPVRA 合并 ASD。所有手术均采用机器人完成。

结果

患者的平均年龄为 26.7±10.3 岁。17 例（81%）患者为上腔静脉 ASD 合并心上型肺静脉异位引流，采用双补片技术。4 例患者为下腔静脉 ASD 合并心内型肺静脉异位引流，首选单补片技术。夹闭时间和体外循环时间分别为 92.8±29.6 和 127.8±38.1。无死亡病例。1 例患者出现房室传导阻滞，需要安装起搏器。