| 篇名 |
Endoscope-Assisted Minimally Invasive Surgery for Coronary Artery Bypass |
| 作者 |
Kuan-Ming Chiu, Tzu-Yu Lin, Shao-Jung Li,Jer-Shen Chen, Chih-Yang Chan, Shu-Hsun Chu |
| 卷期/出版年月 |
40卷3期 (2007/6) |
| 頁次 |
111-116 |
| 摘要 |
Objective: Cardiac surgeons began in this decade to apply the endoscopes in their
practices. Endoscopic graft harvest for coronary artery bypass surgery (CABG) has
become the routine practice in many institutes. However, endoscopic harvest of the
left internal mammary artery (LIMA) has remained a technical challenge.
Methods: From April 2002 to April 2004, 40 patients underwent minimally invasive
direct CABG using LIMA to left anterior descending (LAD) artery bypass. Twentyone
of them had endoscopic harvest of LIMA.
Results: There was neither early nor late operative mortality. Endoscopic LIMA
harvest time ranged from 38 to 125 minutes (mean 56 minutes). All harvested
LIMAs had a burst flow while being cut from the distal end. The length of
thoracotomy was 5 to 8 cm (mean 6.2 cm).Ten patients were extubated immediately.
One patient had hemothorax which required chest tube insertion. The intensive care
unit (ICU) ventilation time was 0 to 40 hours (mean 7 hours). The ICU stay and
hospital stay were 1.3 0.3 and 6.2 1.5 days, respectively.
Conclusions: Endoscope-assisted LIMA harvest is a feasible technique. The learning
curve, however, shows that this approach reduces wound length, recovery time, and
helps extend the graft length to facilitate the anastomosis. It provides patients with
an alternative choice to have a satisfactory conduit in a minimally invasive way. |
| 關鍵詞 |
minimally invasive direct coronary artery bypass, endoscopic harvest,internal mammary artery. |
| 分類 |
Original Article |
