El-Sayed Ahmad Ali, Salamate Saad, Bakhtiary Farhad
Department of Cardiac Surgery, Heart Center Siegburg, Siegburg, Germany.
Department of Cardiac Surgery, University Hospital Bonn, Bonn, Germany.
Front Cardiovasc Med. 2023 Jan 9;9:1053572. doi: 10.3389/fcvm.2022.1053572. eCollection 2022.
Since its inception more than a quarter of a century ago, minimally invasive cardiac surgery has attracted the increasing interest of cardiac surgeons worldwide. The need to surgically treat patients with smaller and better-tolerated incisions coupled with high-quality clinical outcomes, particularly in structural heart disease, has become imperative to keep pace with the evolution of transcatheter valve implantation. We have learned numerous lessons from our longstanding experience in this field of surgical care, especially in terms of endoscopic access mini-thoracotomy. To improve the safety and efficacy of this minimally invasive endoscopic access, this study summarizes and highlights the lessons we have learned, acting as a template for newly established cardiac surgeons in minimally invasive techniques.
自25多年前微创心脏手术问世以来，它已引起全球心脏外科医生越来越浓厚的兴趣。采用更小且耐受性更好的切口进行手术治疗患者的需求，以及高质量的临床结果，尤其是在结构性心脏病方面，对于跟上经导管瓣膜植入术的发展步伐而言已变得势在必行。我们从在这一外科治疗领域的长期经验中学到了很多经验教训，特别是在内镜入路微型开胸手术方面。为提高这种微创内镜入路的安全性和有效性，本研究总结并突出了我们所学到的经验教训，为新入行的微创技术心脏外科医生提供一个模板。
