Burke R P, Michielon G, Wernovsky G
Department of Cardiology, Children's Hospital, Boston, Massachusetts 02115.
Ann Thorac Surg. 1994 Sep;58(3):864-8. doi: 10.1016/0003-4975(94)90768-4.
Recent advances in fiberoptics and endoscopic imaging technology have extended the applications of video assistance in surgical procedures. Video-assisted thoracoscopic surgical techniques have been employed to improve anatomic visualization within the pleural space and to reduce chest wall trauma. Open heart operations for congenital heart disease in neonates and infants also require clear visualization of small structures within confined spaces. By adapting pediatric thoracoscopic instrumentation, we have developed a technique for video-assisted cardioscopy. This technique was used in 4 patients with complex congenital heart disease to expose remote intracardiac structures and facilitate surgical repair. The patients ranged in weight from 4.6 to 17 kilograms, and visualization of the intended structures was achieved in each case within 12 minutes. There were no complications associated with the videoscope. Further experience with video-assisted cardioscopy might broaden its role as an adjunct to the surgical repair of complex congenital heart defects.
光纤和内镜成像技术的最新进展扩展了视频辅助在外科手术中的应用。电视辅助胸腔镜手术技术已被用于改善胸膜腔内的解剖可视化并减少胸壁创伤。新生儿和婴儿先天性心脏病的心脏直视手术也需要清晰地观察受限空间内的小结构。通过采用小儿胸腔镜器械，我们开发了一种视频辅助心脏镜检查技术。该技术用于4例复杂先天性心脏病患者，以暴露远处的心内结构并促进手术修复。患者体重在4.6至17千克之间，每例均在12分钟内实现了对预期结构的可视化。未发生与视频镜相关的并发症。视频辅助心脏镜检查的更多经验可能会扩大其作为复杂先天性心脏缺陷手术修复辅助手段的作用。
