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胸腔镜下动脉导管未闭封堵术:一种创伤更小、更具成本效益的技术。

Thoracoscopic closure of patent ductus arteriosus: a less traumatic and more cost-effective technique.

作者信息

Rothenberg S S, Chang J H, Toews W H, Washington R L

机构信息

Department of Pediatric Surgery, Presbyterian/St Luke's Medical Center for Children, Denver, CO, USA.

出版信息

J Pediatr Surg. 1995 Jul;30(7):1057-60. doi: 10.1016/0022-3468(95)90341-0.

DOI:10.1016/0022-3468(95)90341-0
PMID:7472932
Abstract

The authors have developed a technique of thoracoscopic closure of patent ductus arteriosus (PDA) that significantly reduces the surgical morbidity, recovery time, and hospital costs traditionally associated with the standard open procedure. Ten patients have undergone the procedure, with nine completed successfully. One patient required conversion to an open thoracotomy. There were no operative complications, and closure of the ductus was confirmed in all cases with a postoperative echocardiogram. Eight of ten patients were discharged in under 24 hours, and hospital charges were on the average 30% to 40% less.

摘要

作者们研发了一种胸腔镜下闭合动脉导管未闭(PDA)的技术,该技术显著降低了传统标准开放手术所带来的手术发病率、恢复时间及住院费用。十名患者接受了该手术,其中九名成功完成。一名患者需要转为开胸手术。没有手术并发症,所有病例术后超声心动图均证实动脉导管已闭合。十名患者中有八名在24小时内出院,平均住院费用降低了30%至40%。

相似文献

1
Thoracoscopic closure of patent ductus arteriosus: a less traumatic and more cost-effective technique.胸腔镜下动脉导管未闭封堵术:一种创伤更小、更具成本效益的技术。
J Pediatr Surg. 1995 Jul;30(7):1057-60. doi: 10.1016/0022-3468(95)90341-0.
2
Video-assisted thoracoscopic surgical interruption: the technique of choice for patent ductus arteriosus. Routine experience in 230 pediatric cases.电视辅助胸腔镜手术阻断:动脉导管未闭的首选技术。230例儿科病例的常规经验。
J Thorac Cardiovasc Surg. 1995 Dec;110(6):1681-4; discussion 1684-5. doi: 10.1016/S0022-5223(95)70031-5.
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[Closure of patent ductus arteriosus by video thoracoscopy in 282 children].[282例儿童经电视胸腔镜闭合动脉导管未闭]
Arch Mal Coeur Vaiss. 1996 May;89(5):547-51.
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Comparison of muscle-sparing thoracotomy and thoracoscopic ligation for the treatment of patent ductus arteriosus.保留肌肉开胸术与胸腔镜结扎术治疗动脉导管未闭的比较。
J Pediatr Surg. 1998 Feb;33(2):259-61. doi: 10.1016/s0022-3468(98)90442-0.
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Cost and efficacy of surgical ligation versus transcatheter coil occlusion of patent ductus arteriosus.动脉导管未闭手术结扎与经导管线圈封堵术的成本与疗效
J Thorac Cardiovasc Surg. 1996 Dec;112(6):1634-8; discussion 1638-9. doi: 10.1016/S0022-5223(96)70022-3.
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A new video-assisted thoracoscopic surgical technique for interruption of patient ductus arteriosus in infants and children.一种用于婴幼儿和儿童动脉导管未闭封堵的新型电视辅助胸腔镜手术技术。
J Thorac Cardiovasc Surg. 1993 Feb;105(2):278-80.
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[Closure of patent ductus arteriosus in thoracoscopy: analysis of the experience in the Gaslini Institute of Genoa].[胸腔镜下动脉导管未闭的闭合:热那亚加斯利尼研究所经验分析]
G Ital Cardiol. 1997 Aug;27(8):786-9.
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[A new video-assisted thoracoscopic surgical interruption of patent ductus arteriosus].[一种新型电视辅助胸腔镜手术治疗动脉导管未闭]
Rinsho Kyobu Geka. 1994 Feb;14(1):13-7.
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Comparison of cost and clinical outcome between transcatheter coil occlusion and surgical closure of isolated patent ductus arteriosus.经导管弹簧圈封堵术与外科手术闭合孤立性动脉导管未闭的成本及临床结局比较
Pediatrics. 1998 Jun;101(6):1020-4. doi: 10.1542/peds.101.6.1020.
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Thoracoscopic Management of Patent Ductus Arteriosus and Vascular Rings in Infants and Children.婴幼儿动脉导管未闭及血管环的胸腔镜治疗
J Laparoendosc Adv Surg Tech A. 2016 Jan;26(1):66-9. doi: 10.1089/lap.2015.0126. Epub 2015 Aug 27.

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Effect of surgical subspecialty training on patent ductus arteriosus ligation outcomes.外科亚专业培训对动脉导管未闭结扎术结果的影响。
Pediatr Surg Int. 2014 May;30(5):503-9. doi: 10.1007/s00383-014-3469-y. Epub 2014 Feb 1.
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Minimally invasive surgery in infants less than 5 kg: experience of 649 cases.体重小于5千克婴儿的微创手术:649例经验
Surg Endosc. 2008 Oct;22(10):2214-9. doi: 10.1007/s00464-008-0025-7. Epub 2008 Jul 23.
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Thoracoscopic ligation versus coil occlusion for patent ductus arteriosus: a matched cohort study of outcomes and cost.胸腔镜下结扎术与动脉导管未闭封堵术的对比:一项关于结局和成本的配对队列研究
Surg Endosc. 2008 Jul;22(7):1643-8. doi: 10.1007/s00464-007-9674-1. Epub 2007 Nov 20.