Nguyen Cong Huu, Mai Phuong Thanh, Nguyen Huu Uoc, Nguyen Hoang Nam
Department of Cardiovascular and Thoracic Surgery, E Hospital, Hanoi, Vietnam.
Hanoi Medical University, Hanoi, Vietnam.
Indian J Thorac Cardiovasc Surg. 2025 Jul;41(7):887-891. doi: 10.1007/s12055-025-01931-w. Epub 2025 Mar 13.
Myxoma is a rare benign cardiac tumor occurring mostly in the left atrium. Surgical removal of the lesion is indicated to avoid intracardiac obstruction and systemic embolism. We performed surgical removal of left atrial myxoma by total endoscopic surgery without robotic assistance in 40 patients. In this technique, surgical instruments are inserted through four incisions with trocars < 1.5 cm in size. The mean cardiopulmonary bypass and aortic cross-clamp times were 141.3 ± 33.7 and 74.8 ± 28.3 min, respectively. There were no cases of death or conversion to median sternotomy, and the postoperative hospital stay was 7.2 ± 5.0 days. No cases of tumor recurrence or septal leakage occurred over follow-up periods of 3-61 months. Our technique was shown to be both feasible and safe for the removal of left atrial myxoma.
黏液瘤是一种罕见的良性心脏肿瘤，主要发生于左心房。为避免心内梗阻和全身栓塞，需手术切除该病变。我们对40例患者在无机器人辅助的情况下通过全内镜手术切除左心房黏液瘤。在该技术中，手术器械通过4个尺寸小于1.5 cm的套管针切口插入。平均体外循环和主动脉阻断时间分别为141.3±33.7分钟和74.8±28.3分钟。无死亡病例或中转开胸手术的情况，术后住院时间为7.2±5.0天。在3至61个月的随访期内，无肿瘤复发或房间隔渗漏病例。我们的技术被证明对于切除左心房黏液瘤既可行又安全。
