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内镜微创心脏手术:最新技术水平

Endoscopic micro-invasive cardiac surgery: State-of-the-art.

作者信息

Bakhtiary Farhad, Salamate Saad, Eghbalzadeh Kaveh, El-Sayed Ahmad Ali

机构信息

Department of Cardiac Surgery, University Hospital Bonn, Bonn, Germany.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2024 Oct 30;32(4):355-366. doi: 10.5606/tgkdc.dergisi.2024.56934. eCollection 2024 Oct.

DOI:10.5606/tgkdc.dergisi.2024.56934
PMID:39651049
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11620532/
Abstract

The advancement of micro-invasive cardiac surgery techniques has introduced a viable alternative to conventional full-sternotomy operations. These approaches are designed to reduce tissue trauma, shorten recovery time, and meet the increasing demand for less invasive treatment options. In this review, we discuss current progresses in endoscopic micro-invasive cardiac surgery, which utilizes refined tools and advanced imaging technologies to perform complex heart procedures, including valve surgery, coronary artery bypass grafting, and congenital defect corrections. By reviewing our experience with these techniques, we provide practical insights for surgeons interested in adopting micro-invasive cardiac surgery. The highlighted innovations in planning and execution of micro-invasive cardiac surgery reflect the growing trend toward safer and more efficient cardiac surgeries.

摘要

微创心脏手术技术的进步为传统的全胸骨切开术带来了一种可行的替代方案。这些方法旨在减少组织创伤、缩短恢复时间,并满足对侵入性较小的治疗选择日益增长的需求。在本综述中,我们讨论了内镜微创心脏手术的当前进展,该手术利用精密工具和先进成像技术来执行复杂的心脏手术,包括瓣膜手术、冠状动脉搭桥术和先天性缺陷矫正。通过回顾我们在这些技术方面的经验,我们为有兴趣采用微创心脏手术的外科医生提供实用的见解。微创心脏手术在规划和执行方面的突出创新反映了心脏手术朝着更安全、更高效发展的趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0e9/11620532/ef65fa36394c/TJTCS-2024-32-4-355-366-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0e9/11620532/ef65fa36394c/TJTCS-2024-32-4-355-366-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0e9/11620532/ef65fa36394c/TJTCS-2024-32-4-355-366-F3.jpg

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本文引用的文献

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Proposal for computer tomography-based valve sizing and prosthesis simulation in endoscopic aortic valve surgery.基于计算机断层扫描的内镜主动脉瓣手术中瓣膜尺寸测量及假体模拟方案
JTCVS Tech. 2024 Mar 9;25:52-54. doi: 10.1016/j.xjtc.2024.02.022. eCollection 2024 Jun.
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Totally Endoscopic Replacement of the Ascending Aorta and the Aortic Root including the Aortic Valve via Right Mini-Thoracotomy: A Multicenter Study.经右胸小切口全胸腔镜下升主动脉及主动脉根部包括主动脉瓣置换术:一项多中心研究
J Clin Med. 2024 Apr 30;13(9):2648. doi: 10.3390/jcm13092648.
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Totally endoscopic micro-invasive aortic valve replacement.
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Multimed Man Cardiothorac Surg. 2024 Mar 26;2024. doi: 10.1510/mmcts.2023.094.
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Simulation-based training for endoscopic mitral valve repair: the impact on basic surgical skills for placement of sutures at mitral valve annulus during 2-h training workshop.基于模拟的内镜二尖瓣修复训练:在2小时训练工作坊中对二尖瓣环处缝合基本手术技能的影响。
Interdiscip Cardiovasc Thorac Surg. 2024 Feb 2;38(2). doi: 10.1093/icvts/ivae003.
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Update on minimally invasive cardiac surgery and enhanced recovery after surgery.微创心脏手术与术后加速康复的最新进展。
Curr Opin Anaesthesiol. 2024 Feb 1;37(1):10-15. doi: 10.1097/ACO.0000000000001322. Epub 2023 Oct 11.
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J Clin Med. 2023 Aug 17;12(16):5344. doi: 10.3390/jcm12165344.
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Case report: Video-assisted minimally invasive mitral and pulmonary valve replacement as reoperation in patient with situs inversus totalis.病例报告:全内脏反位患者再次手术的电视辅助微创二尖瓣和肺动脉瓣置换术
Front Cardiovasc Med. 2023 Aug 3;10:1053923. doi: 10.3389/fcvm.2023.1053923. eCollection 2023.
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Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation.机器人二尖瓣修复术治疗退行性二尖瓣反流。
Ann Thorac Surg. 2024 Jan;117(1):96-104. doi: 10.1016/j.athoracsur.2023.07.047. Epub 2023 Aug 16.
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Innovations (Phila). 2023 Jul-Aug;18(4):365-371. doi: 10.1177/15569845231185819. Epub 2023 Jul 18.
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Right-Sided Minimally Invasive Direct Coronary Artery Bypass: Clinical Experience and Perspectives.右侧微创直接冠状动脉旁路移植术:临床经验与展望。
Medicina (Kaunas). 2023 May 9;59(5):907. doi: 10.3390/medicina59050907.