Short-term effect of minimally invasive thoracoscopic cardiac surgery in 453 patients: A retrospective study in a single center_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LAN Huai ,  WANG Zhenlong , YANG Wenju , LI Xiaomi , ZHANG Yong , WANG Yang , LIU Yu , SHI Yun

Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, 110016, P. R. China;

Corresponding author：

WANG Zhenlong, Email: wangzl1976@sina.com

Keywords：

Thoracoscope; minimally invasive cardiac surgery; congenital heart disease; cardiac tumor

DOI：

10.7507/1007-4848.202204078

Video：

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Objective To analyze the short-term outcomes of cardiac surgery via minimally invasive approach under thoracoscope in a single-center. Methods The clinical data of patients who underwent cardiac surgery via minimally invasive approach under thoracoscope between July 2017 and February 2022 were retrospectively analyzed. Results A total of 453 patients were enrolled, including 150 males and 303 females at an average age of 42.2±14.6 years. The main disease types included atrial septal defect in 314 patients, partial atrioventricular septal defect in 26 patients, and cardiac tumor in 105 patients. There was no death during the perioperative period. The mean operative time was 3.9±0.8 h, cardiopulmonary bypass time was 101.2±34.0 min, aortic occlusion time was 42.1±25.1 min, ventilator assistance time was 11.6±9.4 h, ICU stay time was 22.6±13.9 h and postoperative hospital stay was 6.0±1.7 d. Intraoperative and postoperative complications occurred in 18 (4.0%) patients, including 2 patients with conversion to sternotomy, 3 with incision expand, 3 with reoperation for bleeding, 1 with of redo operation, 4 with incision infection, 2 with respiratory insufficiency, 2 with cerebrovascular accident, and 1 with ventricular fibrillation. The follow-up time was 22.6±15.4 months, during which 1 patient died, 4 patients had moderate mitral regurgitation, 1 patient had mild-moderate mitral regurgitation, and 1 patient had mild-moderate tricuspid regurgitation. Conclusion Minimally invasive cardiac surgery under thoracoscope is safe with small invasions and few complications, and has satisfactory short-term outcomes.

Citation： LAN Huai, WANG Zhenlong, YANG Wenju, LI Xiaomi, ZHANG Yong, WANG Yang, LIU Yu, SHI Yun. Short-term effect of minimally invasive thoracoscopic cardiac surgery in 453 patients: A retrospective study in a single center. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(12): 1703-1708. doi: 10.7507/1007-4848.202204078 Copy

1.	兰怀, 王镇龙, 刘宇, 等. 单中心开展全胸腔镜下体外循环心脏手术初期临床效果. 中国心血管病研究, 2021, 19(1): 56-60.
2.	兰怀, 程云阁, 贾宝成, 等. 完全胸腔镜下二尖瓣置换术634例临床分析. 中华外科杂志, 2016, 54(8): 609-612.
3.	Abu-Omar Y, Fazmin IT, Ali JM, et al. Minimally invasive mitral valve surgery. J Thorac Dis, 2021, 13(3): 1960-1970.
4.	Liu K, Sun H, Wang B, et al. Is tri-port totally thoracoscopic surgery for mitral valve replacement a feasible approach? Ann Cardiothorac Surg, 2021, 10(1): 149-157.
5.	徐学增, 易蔚, 李华, 等. 单中心全胸腔镜微创手术治疗先天性心脏病2543例临床分析. 中华外科杂志, 2016, 54(8): 591-595.
6.	中华医学会胸心血管外科学分会胸腔镜微创心脏手术技术. 我国胸腔镜微创心脏手术技术操作规范专家共识(征求意见稿第二版). 中国胸心血管外科临床杂志, 2016, 23(4): 315-318.
7.	Cheng Y, Chen H, Mohl W, et al. Totally endoscopic congenital heart surgery compared with the traditional heart operation in children. Wien Klin Wochenschr, 2013, 125(21-22): 704-708.
8.	杨禹, 叶聪, 杨承志, 等. 全胸腔镜下单纯左心耳闭合术预防非瓣膜性房颤合并高出血风险患者相关脑卒中的临床研究. 首都医科大学学报, 2023, 44(5): 795-802.
9.	崔辉敏, 张林, 魏士雄, 等. 连续100例胸腔镜二尖瓣成形术早期临床结果分析. 中华胸心血管外科杂志, 2021, 37(9): 542-545.
10.	Yu S, Xu X, Zhao B, et al. Totally thoracoscopic surgical resection of cardiac myxoma in 12 patients. Ann Thorac Surg, 2010, 90(2): 674-676.
11.	黄焕雷, 柯英杰, 杨亮, 等. 微创成形技术治疗心脏手术后重度三尖瓣关闭不全的中期疗效分析. 中华外科杂志, 2019, 57(12): 902-907.
12.	张林, 姜胜利, 李梁钢, 等. 单操作孔全胸腔镜治疗左心瓣膜术后三尖瓣关闭不全临床分析. 中华外科杂志, 2019, 57(12): 908-911.
13.	Casselman FP, Van Slycke S, Wellens F, et al. Mitral valve surgery can now routinely be performed endoscopically. Circulation, 2003, 108 Suppl 1:Ⅱ48-Ⅱ54.
14.	Färber G, Tkebuchava S, Dawson RS, et al. Minimally invasive, isolated tricuspid valve redo surgery: A safety and outcome analysis. Thorac Cardiovasc Surg, 2018, 66(7): 564-571.
15.	Fang L, Li W, Zhang W, et al. Mid-term results and risks of isolated tricuspid valve reoperation following left-sided valve surgery. Eur J Cardiothorac Surg, 2018, 53(5): 1034-1039.
16.	易蔚, 雷兰萍, 熊红燕, 等. 胸腔镜体外循环心脏手术团队的培养模式及学习曲线研究. 中国体外循环杂志, 2018, 16(5): 302-306.

1. 兰怀, 王镇龙, 刘宇, 等. 单中心开展全胸腔镜下体外循环心脏手术初期临床效果. 中国心血管病研究, 2021, 19(1): 56-60.
2. 兰怀, 程云阁, 贾宝成, 等. 完全胸腔镜下二尖瓣置换术634例临床分析. 中华外科杂志, 2016, 54(8): 609-612.
3. Abu-Omar Y, Fazmin IT, Ali JM, et al. Minimally invasive mitral valve surgery. J Thorac Dis, 2021, 13(3): 1960-1970.
4. Liu K, Sun H, Wang B, et al. Is tri-port totally thoracoscopic surgery for mitral valve replacement a feasible approach? Ann Cardiothorac Surg, 2021, 10(1): 149-157.
5. 徐学增, 易蔚, 李华, 等. 单中心全胸腔镜微创手术治疗先天性心脏病2543例临床分析. 中华外科杂志, 2016, 54(8): 591-595.
6. 中华医学会胸心血管外科学分会胸腔镜微创心脏手术技术. 我国胸腔镜微创心脏手术技术操作规范专家共识(征求意见稿第二版). 中国胸心血管外科临床杂志, 2016, 23(4): 315-318.
7. Cheng Y, Chen H, Mohl W, et al. Totally endoscopic congenital heart surgery compared with the traditional heart operation in children. Wien Klin Wochenschr, 2013, 125(21-22): 704-708.
8. 杨禹, 叶聪, 杨承志, 等. 全胸腔镜下单纯左心耳闭合术预防非瓣膜性房颤合并高出血风险患者相关脑卒中的临床研究. 首都医科大学学报, 2023, 44(5): 795-802.
9. 崔辉敏, 张林, 魏士雄, 等. 连续100例胸腔镜二尖瓣成形术早期临床结果分析. 中华胸心血管外科杂志, 2021, 37(9): 542-545.
10. Yu S, Xu X, Zhao B, et al. Totally thoracoscopic surgical resection of cardiac myxoma in 12 patients. Ann Thorac Surg, 2010, 90(2): 674-676.
11. 黄焕雷, 柯英杰, 杨亮, 等. 微创成形技术治疗心脏手术后重度三尖瓣关闭不全的中期疗效分析. 中华外科杂志, 2019, 57(12): 902-907.
12. 张林, 姜胜利, 李梁钢, 等. 单操作孔全胸腔镜治疗左心瓣膜术后三尖瓣关闭不全临床分析. 中华外科杂志, 2019, 57(12): 908-911.
13. Casselman FP, Van Slycke S, Wellens F, et al. Mitral valve surgery can now routinely be performed endoscopically. Circulation, 2003, 108 Suppl 1:Ⅱ48-Ⅱ54.
14. Färber G, Tkebuchava S, Dawson RS, et al. Minimally invasive, isolated tricuspid valve redo surgery: A safety and outcome analysis. Thorac Cardiovasc Surg, 2018, 66(7): 564-571.
15. Fang L, Li W, Zhang W, et al. Mid-term results and risks of isolated tricuspid valve reoperation following left-sided valve surgery. Eur J Cardiothorac Surg, 2018, 53(5): 1034-1039.
16. 易蔚, 雷兰萍, 熊红燕, 等. 胸腔镜体外循环心脏手术团队的培养模式及学习曲线研究. 中国体外循环杂志, 2018, 16(5): 302-306.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Short-term effect of minimally invasive thoracoscopic cardiac surgery in 453 patients: A retrospective study in a single center

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