人工气胸在全内镜下无泵左心耳闭合和手术消融中的应用。

Shunsuke Sato, Takashi Azami, Jun Fujisue, Kyozo Inoue, Kenji Okada
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引用次数: 0

摘要

目的:在全内镜下无泵左心耳(LAA)关闭和手术消融中,由于膈或心室升高导致的工作空间狭窄,某些患者有时难以固定手术野。在本研究中,我们旨在探讨一种使用人工气胸保护手术野的方法的有效性。方法:我们分析了71例连续接受全内窥镜下泵外LAA闭合和双侧肺静脉隔离的患者。研究了减少手术时间的因素。根据是否使用人工气胸分为两组:C组无人工气胸24例,A组有人工气胸47例。结果:无院内死亡及重大并发症。A组的手术时间(108±26分钟)明显短于C组(198±77分钟)。(p)结论:在完全内镜下关闭LAA并手术消融的情况下,人工气胸可能有助于缩短手术时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Usefulness of Artificial Pneumothorax during Totally Endoscopic Off-Pump Left Atrial Appendage Closure and Surgical Ablation.

Purpose: In totally endoscopic off-pump left atrial appendage (LAA) closure and surgical ablation, securing the operative field is sometimes difficult in some patients because of a narrow working space caused by an elevated diaphragm or ventricles. In this study, we aimed to investigate the effectiveness of a method that facilitates securing the operative field using an artificial pneumothorax.

Methods: We analyzed 71 consecutive patients who underwent totally endoscopic off-pump LAA closure and bilateral pulmonary vein isolation. The factors contributing to the reduction in operative time were examined. The patients were divided into the following 2 groups according to whether or not an artificial pneumothorax was used: Group C comprised 24 patients without an artificial pneumothorax and Group A comprised 47 patients with an artificial pneumothorax.

Results: There were no hospital deaths or major complications. The operative time was significantly shorter in Group A (108 ± 26 minutes) than in Group C (198 ± 77 minutes) (p <0.0001).

Conclusions: In totally endoscopic off-pump LAA closure and surgical ablation, an artificial pneumothorax may be useful in reducing the operative time.

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