Cong Huu Nguyen, Phuong Thanh Mai, Huu Uoc Nguyen, Hoang Nam Nguyen
{"title":"内镜下左房黏液瘤全切除术。","authors":"Cong Huu Nguyen, Phuong Thanh Mai, Huu Uoc Nguyen, Hoang Nam Nguyen","doi":"10.1007/s12055-025-01931-w","DOIUrl":null,"url":null,"abstract":"<p><p>Myxoma is a rare benign cardiac tumor occurring mostly in the left atrium. Surgical removal of the lesion is indicated to avoid intracardiac obstruction and systemic embolism. We performed surgical removal of left atrial myxoma by total endoscopic surgery without robotic assistance in 40 patients. In this technique, surgical instruments are inserted through four incisions with trocars < 1.5 cm in size. The mean cardiopulmonary bypass and aortic cross-clamp times were 141.3 ± 33.7 and 74.8 ± 28.3 min, respectively. There were no cases of death or conversion to median sternotomy, and the postoperative hospital stay was 7.2 ± 5.0 days. No cases of tumor recurrence or septal leakage occurred over follow-up periods of 3-61 months. Our technique was shown to be both feasible and safe for the removal of left atrial myxoma.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 7","pages":"887-891"},"PeriodicalIF":0.7000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170979/pdf/","citationCount":"0","resultStr":"{\"title\":\"Total endoscopic resection of left atrial myxoma.\",\"authors\":\"Cong Huu Nguyen, Phuong Thanh Mai, Huu Uoc Nguyen, Hoang Nam Nguyen\",\"doi\":\"10.1007/s12055-025-01931-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Myxoma is a rare benign cardiac tumor occurring mostly in the left atrium. Surgical removal of the lesion is indicated to avoid intracardiac obstruction and systemic embolism. We performed surgical removal of left atrial myxoma by total endoscopic surgery without robotic assistance in 40 patients. In this technique, surgical instruments are inserted through four incisions with trocars < 1.5 cm in size. The mean cardiopulmonary bypass and aortic cross-clamp times were 141.3 ± 33.7 and 74.8 ± 28.3 min, respectively. There were no cases of death or conversion to median sternotomy, and the postoperative hospital stay was 7.2 ± 5.0 days. No cases of tumor recurrence or septal leakage occurred over follow-up periods of 3-61 months. Our technique was shown to be both feasible and safe for the removal of left atrial myxoma.</p>\",\"PeriodicalId\":13285,\"journal\":{\"name\":\"Indian Journal of Thoracic and Cardiovascular Surgery\",\"volume\":\"41 7\",\"pages\":\"887-891\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170979/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Thoracic and Cardiovascular Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s12055-025-01931-w\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/3/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12055-025-01931-w","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/13 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Myxoma is a rare benign cardiac tumor occurring mostly in the left atrium. Surgical removal of the lesion is indicated to avoid intracardiac obstruction and systemic embolism. We performed surgical removal of left atrial myxoma by total endoscopic surgery without robotic assistance in 40 patients. In this technique, surgical instruments are inserted through four incisions with trocars < 1.5 cm in size. The mean cardiopulmonary bypass and aortic cross-clamp times were 141.3 ± 33.7 and 74.8 ± 28.3 min, respectively. There were no cases of death or conversion to median sternotomy, and the postoperative hospital stay was 7.2 ± 5.0 days. No cases of tumor recurrence or septal leakage occurred over follow-up periods of 3-61 months. Our technique was shown to be both feasible and safe for the removal of left atrial myxoma.
期刊介绍：
The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.
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