| Surgical strategy and application skills of ministernotomy in the treatment of heart disease |
| Received:March 22, 2020 Revised:April 16, 2020 Click here to download the full text |
| Citation of this paper:GUO Wei,ZHU Li-ming,KANG Le,YANG Cheng.Surgical strategy and application skills of ministernotomy in the treatment of heart disease[J].Chinese Journal of Clinical Medicine,2020,27(3):401-405 |
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| Author Name | Affiliation | E-mail | | GUO Wei | School of Pharmacy, Fudan University, Shanghai 201203, China | | | ZHU Li-ming | Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | KANG Le | Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | YANG Cheng | Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China | yang.cheng@zs-hospital.sh.cn |
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| Abstract:Objective: To explore the strategies and implementation techniques of ministernotomy for most cardiac surgery.Methods: 302 patients of direct open-heart surgery with ministernotomy in Zhongshan Hospital, Fudan University from November 2017 to December 2019 were summarized, and compared with other minimally invasive heart surgery with surgical effection, operation time, aortic occlusion time, bleeding volume and ICU stay time.Results: The ministernotomy completely cuts the sternum, but reduces the length of the conventional incision from 20 cm to 6-8 cm, and the sternum is only 6 cm opened. It can perform most heart surgery with great results. It has a wide range of indications, smaller incisions and beautiful appearance, minimal impact on the thorax, and a heart with a mid-thoracotomy. The heart is clearly exposed, the operation is rapid and accurate, and no need for single lung ventilation.Conclusions: The ministernotomy has a wide range of indications and convenient operation, and it is especially easy to popularize. |
| keywords:ministernotomy minimally invasive heart surgery cardiac surgery strategy |
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