The feasibility, effectiveness and safety of totally thoracoscopic resection for right atrial myxoma
HE Biao-chuan1
ZHOU Kan1
CHEN Ze-rui1
KE Ying-jie2
HUANG Huan-lei1
1.Department of Cardiovascular Surgery, Guangdong Provincial People's Hospital, Guangdong Cardiovascular Institute,Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Academy of Medical Sciences, Guangzhou 5100802.Department of Cardiovascular Surgery, Guangdong Provincial People's Hospital's Nanhai Hospital, The Second People's Hospital of Nanhai District, Foshan, Guangdong 528000, China
摘要：Background Myxoma is the most frequent cardiac benign tumor which requires surgical removal even though in right atrium.Minimally invasive surgery has become the standard approach for removal of myxoma in our center.Herein,we report our initial experience of cardiac myxoma removal through mini-port totally thoracoscopic particular with focus on its feasibility,efficacy and short-term outcomes,as compared with median sternotomy.Methods From April 2015 to March 2019,31 consecutive cases were ultimately identified and divided into two groups (Mini-port thoracoscopic group,n=14;versus conventional median sternotomic group,n=17).An echocardiography was routinely performed prior to discharge,at 1st month,6th month,12th month and every year postoperatively.Retrospective analyses of perioperative data,postoperative outcomes and complications,and follow up data were performed.Results All the 31 patients successfully underwent fight atrial myxoma removal surgery with no perioperative death,re-exploration for bleeding,residual mass or central nervous event in both groups.Intraoperative data from two group showed absence of significant difference except the intraoperative blood loss (150±50.01 mL in mini-port thoracoscopic group vs.255.88±93.35 mL in conventional median sternomtomic group,P=0.01).There was no significant difference in perioperative blood transfusion and postoperative outcomes between the two groups.But the mini-port thoracoscopic group had a much less 24-hour postoperative drainage (136.71±148.20 mL vs.341.17±211.29 mL,P=0.03).No significance difference could be identified between two groups about the incidence of postoperative morbidities and follow-up adverse events.Conclusion Totally mini-port video-assisted thoracoscopic approach for fight atrial myxoma resection on peripheral cardiopulmonary bypass is feasible,effective with favorable safety in experienced cardiac center.
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论文发表日期：2019-12-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：9( 236-244 )
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