Sauvé Jean-Alexandre, Wu Yung-Szu, Ghatanatti Ravi, Zacharias Joseph
Department of Cardiothoracic Surgery, Lancashire Cardiac Centre, Whinney Heys Road, Blackpool FY3 8NR, UK.
J Cardiovasc Dev Dis. 2023 Mar 13;10(3):118. doi: 10.3390/jcdd10030118.
Tricuspid valve diseases are a heterogeneous group of pathologies that typically have poor prognoses when treated medically and are associated with significant morbidity and mortality with traditional surgical techniques. Minimal access tricuspid valve surgery may mitigate some of the surgical risks associated with the standard sternotomy approach by limiting pain, reducing blood loss, lowering the risk of wound infections, and shortening hospital stays. In certain patient populations, this may allow for a prompt intervention that could limit the pathologic effects of these diseases. Herein, we review the literature on minimal access tricuspid valve surgery focusing on perioperative planning, technique, and outcomes of minimal access endoscopic and robotic surgery for isolated tricuspid valve disease.
三尖瓣疾病是一组异质性的病理状况,通常药物治疗预后不佳,且传统手术技术与之相关的发病率和死亡率较高。微创三尖瓣手术可通过减轻疼痛、减少失血、降低伤口感染风险和缩短住院时间,减轻一些与标准胸骨切开术相关的手术风险。在某些患者群体中,这可能允许进行及时干预,从而限制这些疾病的病理影响。在此,我们回顾了关于微创三尖瓣手术的文献,重点关注孤立性三尖瓣疾病的微创内镜和机器人手术的围手术期规划、技术及结果。