SUMMARY: MINIMALLY INVASIVE VIDEO – ASSISTED CARDIAC SURGERY IN CARDIOVASCULAR CENTRE – E HOSPITAL: THE INITIAL EXPERIENCE WITH 63 PATIENTS

Le Ngoc Thanh, Nguyen Cong Huu, Phan Thao Nguyen, Do Anh Tien, Nguyen Tran Thuy, Tran Dac Dai, Ngo Thanh Hung, Nguyen Hoang Nam, Nguyen Trung Hieu, Nguyen Thai Long, Nguyen Do Hung, Vu Xuan Quang

Main Article Content

Abstract

Objectives: To investigate the feasibility and safety of video – assisted minimally invasive surgical methods in cardiac surgery.


Patients and methods: From 5/2013 to 4/2014: 63 conscutive patients have been operated (ASD closure, mitral valve replacement, mitral valve repair, partial AVSD repair, pulmonary valve repair, left atrial myxoma, left artrial membrane resection, CABG).


 Results: There were 60 patients of success, 3 cases of failure: 2 patients were enlarged chest incision, 1 patient required to converse to sternotomy because of bleeding; 1 case reoperated because of pneumothorax. There didn’t have any hospital death, no major complication.


 Conclusion: video – assisted minimally invasive surgical methods in cardiac surgery is feasible and safe. This procedure can be performed with advantages.

Article Details

References

1.Dương Đức Hùng, Đỗ Anh Tiến, Lê Ngọc Thành. Thay van hai lá có tuần hoàn ngoài cơ thể, không làm ngừng tim. Tạp chí y học thực hành - số 2 tháng 11-2008: 38-41
2. Bichell DP, Geva T, Bacha EA et al. Minimal access approach for the repair of atrial septal defect: the initial 135 patients. Ann Thorac Surg. 2000 Jul; 70(1) : 115-8.
3. Chitwood WR et al. Video-assisted minimally invasive mitral valve surgery. J Thorac Cardiovasc Surg 1997 Feb;113(2):413-4.
4. Cremer JT, Andreas Böning, Anssar MB et al. Different approaches for minimally invasive closure of atrial septal defects. Ann Thorac Surg 1999; 67: 1648-1652
5. Didier Loulmet, Alain Carpentier. Endoscopic coronary artery bypass grafting with the aid of robotic assisted instruments. J Thorac Cardiovasc 1999
6. Elbeery JR, Chitwood WR. Minimally invasive cardiac surgery. Heart surgery for the 21st century. N C Med J. 1997 Sep-Oct;58(5):374-7.
7. Garbade J, Davierwala P et al. Myocardial protection during minimally invasive mitral valve
surgery: strategies and cardioplegic solutions. Ann Cardiothorac Surg 2013;2(6): 803-808
8. Johannes B, Thomas S. Robotically Assisted Totally Endoscopic Coronary Bypass Surgery.
Circulation. 2011;124: 236-244.
9. Joseph TM, Saif Usman et al. Minimally Invasive Coronary Artery Bypass Grafting:DualCenter Experience in 450 Consecutive Patients. Circulation. 2009;120[suppl 1] : S78–S84.