Evaluation of different minimally invasive techniques in surgical correcting congenital ventricular septal defect
Abstract：Objective This retrospective study reviews our results and experience with lower mini-sternotomy (LMS) technique and right lateral thoracotomy (RLT) technique for ventricular septal defect closure compared with SMS.Methods Between March 2015 and Dec 2016,198 patients underwent repair VSD through lower mini-sternotomy (LMS Group,n=66),right lateral thoracotomy (RLT Group,n=59),standard median sternotomy (SMS Group,n=73).Cardiopulmonary bypass was achieved directly in the three different approaches.Results Procedures were performed successfully in all patients among the three groups and no in-hospital mortality occurred.No patient was reverted to standard median sternotomy in LMS Group and RLT Group.The CPB time was (37.73±ll.46)min in LMS Group,(41.3±13.97)min in RLT Group and (36.99±10.84)min in SMS Group (P=0.078);the cross-clamp time were (23.85±9.78)min in LMS Group,(22.54±9.08)min in RLT Group and (19.23±6.92)min in SMS Group (P=0.009).The total incision length of the procedure in SMS Group (7.45±1.54)cm was longer than the other groups [LMS Group (5.58±0.80)cm and RLT Group (5.96± 1.48)cm] and the difference was significant(P＜0.001).Conclusion Both the LMS and RLT approach can perform with favorable cosmetic and acceptable clinical results for closing VSD.They are the promising alternatives to standard median sternotomy and merits further study.
Keywords：Congenital heart diseaseVentricular septal defectMinimally invasive surgery
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 242-245 )