Kitamura M, Uwabe K, Hirota J, Kawai A, Endo M, Koyanagi H
Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University.
Artif Organs. 1998 Sep;22(9):765-8. doi: 10.1046/j.1525-1594.1998.06227.x.
To clarify the special instruments and equipment used for minimally invasive cardiac surgery (MICS), we examined the initial experiences with MICS operations with ministernotomy or minithoracotomy at our institution. Fifty adult patients with congenital, valvular, and/or ischemic heart diseases underwent MICS operations, and all surgical procedures were completed without conversion to full sternotomy. The length of the skin incision was about 10 cm or less in all patients. Postoperative recovery was favorable, and the majority of the patients were discharged from the hospital around the end of the second postoperative week. In this series of patients, an oscillating bone saw, lifting type retractor, 2 blade spreader, cannula with a balloon, and right-angled aortic clamp among other items, were very useful for successfully performing various operations with MICS approaches and techniques. The associated results suggest that MICS with ministernotomy or minithoracotomy was feasible using special instruments and equipment and could be encouraged for adult patients with various cardiovascular diseases.
为阐明用于微创心脏手术（MICS）的特殊仪器和设备，我们研究了在本机构进行的经胸骨上段小切口或胸腔镜辅助小切口MICS手术的初步经验。50例患有先天性、瓣膜性和/或缺血性心脏病的成年患者接受了MICS手术，所有手术均未转为全胸骨切开术。所有患者的皮肤切口长度约为10厘米或更短。术后恢复良好，大多数患者在术后第二周结束时出院。在这组患者中，摆动锯、提升式牵开器、双叶撑开器、带气囊插管和直角主动脉钳等器械，对于成功采用MICS方法和技术进行各种手术非常有用。相关结果表明，使用特殊仪器和设备，经胸骨上段小切口或胸腔镜辅助小切口的MICS对成年心血管疾病患者是可行的，值得推广。
