Application of total thoracoscopic minimally invasive in cardiac surgery
XU Fazhen1 CHEN Kaiming2 ZHU Ming1 SU Shaoping1
1. Department of Cardiac Vascular Surgery, Huizhou Municipal Central Hospital, Guangdong Province, Huizhou 516000, China
2. Department of Vascular Surgery, People's Hospital of Gaozhou, Guangdong Province, Gaozhou 525200, China
Abstract：Objective To analyze the application effect of total thoracoscopy minimally invasive cardiac surgery. Methods From April 2022 to April 2023, 60 patients of undergoing the cardiopulmonary bypass cardiac valve surgery in Huizhou Municipal Central Hospital and the People's Hospital of Gaozhou were chosen as the study subjects, according to the random number table method, they were divided into group A (30) and group B (30 cases). Group A received total thoracoscopy minimally invasive heart surgery, and group B received traditional median thoracotomy. The relevant surgical indicators, postoperative pain scores, and incidence of complications between two groups were compared. Results The surgical time, extracorporeal circulation time, and aortic occlusion time in group A were longer than those in group B, while the blood loss and transfusion volume were lower than those in group B, with statistically significant differences (P＜0.05). The postoperative drainage volume in group A was lower than that in group B, and the postoperative ventilator use time and ICU stay time were shorter than those in group B, with statistically significant differences (P＜0.05). The wound pain score on the first and third postoperative days in group A was lower than those in group B, with statistically significant difference (P＜0.05). The total incidence of postoperative complications in group A was lower than that in group B, with a statistically significant difference (P＜0.05). There were no statistically significant differences in the comparison of physical stress response indicators between the groups before operation (P＞0.05). The levels of adrenaline, norepinephrine and cortisol of the two groups 72 hours after operation were higher than before operation, and the norepinephrine and cortisol in the group A were lower than those in the group B, with statistically significant differences (P＜0.05). Conclusion Compared with median open heart surgery, total thoracoscopy minimally invasive cardiopulmonary bypass heart valve surgery has the advantages of low trauma, rapid postoperative recovery, and fewer postoperative complications.
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