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即将出现的:微创心脏手术。

On the horizon: minimally invasive cardiac surgery.

作者信息

Vitello-Cicciu J, Fitzgerald C, Whalen D

机构信息

Emergency Department, Boston Medical Center, Massachusetts, USA.

出版信息

J Cardiovasc Nurs. 1998 Apr;12(3):1-16. doi: 10.1097/00005082-199804000-00003.

Abstract

The landscape of cardiac surgery is changing. Advances in endoscopic and other instrumentation procedures such as port access, video instrumentation, and computer-assisted technology are opening new vistas for cardiac surgery. On the immediate horizon is minimally invasive cardiac surgery, also known as keyhole surgery. Imagine a patient not needing a median sternotomy incision or cardiopulmonary bypass. This new type of cardiac surgery is currently being explored at some cardiac surgical centers internationally. This article explores the current state-of-the-art related to minimally invasive direct coronary artery bypass surgery. The operative procedure, implications for perioperative nursing care, likely future technologies, and the research literature on outcomes are also discussed.

摘要

心脏外科的格局正在发生变化。内窥镜及其他器械操作程序的进展,如端口入路、视频器械和计算机辅助技术,正在为心脏外科开辟新的前景。微创心脏手术,即所谓的锁孔手术,已近在眼前。想象一下,患者无需正中胸骨切开术切口或体外循环。目前,国际上一些心脏外科中心正在探索这种新型心脏手术。本文探讨了与微创直接冠状动脉搭桥手术相关的当前技术水平。还讨论了手术操作、围手术期护理的意义、可能的未来技术以及关于手术结果的研究文献。

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