| Japanese |
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| Title | Minimally Invasive Direct Access Valve Surgery |
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| Subtitle | |
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| Authors | 今関隆雄*, 入江嘉仁*, 片山康*, 木山宏*, 村井則之*, 佐藤康広*, 秦一剋*, 権重好* |
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| Authors(kana) | |
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| Organization | *獨協医科大学越谷病院心臓血管外科 |
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| Journal | 循環制御 |
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| Volume | 19 |
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| Number | 4 |
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| Page | 519-523 |
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| Year/Month | 1998/ |
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| Article | 原著 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「要旨」Ministemotomyを中心に, 同一視野でdirect cannulationを行い, 体外循環を行う方法で, 1997年7月から, 1998年5月まで, 弁膜症治療23例(大動脈弁17例, 僧帽弁6例), 心房中隔欠損根治術1例を施行した. 死亡率は0%であった. 大動脈弁置換術単独症例14例を対象とした, 従来のfull sternotomyによる外科治療との比較では, 大動脈遮断時間(分)(88.4±14.8, 103.5±15.4), 術後ICU滞在期間(時間)(26.0±8.5, 38.1±18.3), 術後気管内挿管期間(時間)(10.5±6.1, 17.6±4.3), 術後在院日数(日)(14.9±4.5, 20.9±2.9)が短かった. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | |
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| English |
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| Title | Minimally Invasive Direct Access Valve Surgery |
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| Subtitle | |
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| Authors | Takao Imazeki*, Yoshihito Irie*, Yasushi Katayama*, Hiroshi Kiyama*, Noriyuki Murai*, Yasuhiro Satou*, Ikkoku Hata*, Shigeyoshi Gon* |
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| Authors(kana) | |
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| Organization | *Department of Cardiovascular Surgery, Koshigaya Hospital, Dokkyo University School of Medicine |
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| Journal | Circulation Control |
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| Volume | 19 |
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| Number | 4 |
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| Page | 519-523 |
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| Year/Month | 1998/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Since July 1997, 24 patients underwent minimally invasive valve surgery and atrial septal defect repair principally using partial (upper and lower) sternotomy. The cannulation for cardiopulmonary bypass was carrid out in the same operative field. We investigated the 14 patients who underwent aortic valve replacement using an upper partial sternotomy by comparing with 10 patients who underwent aortic valve replacement using a full sternotomy. The results were 1) Retrospectively, the patients who underwent minimally invasive aortic valve surgery were younger (51.1 ± 12.3, 62.0 ± 7.2 years old) and had larger body surface area (1.64 ± 0.16, 1.50 ± 0.16 m3) than conventionally operated patients. 2) Aortic cross clamp time (88.4 ±14. 8 , 103.5 ± 15.4 minutes), post operative tracheal intubation time (10.5 ±6.1, 17.6 ± 4.3 hours) ofminimally invasive group was sholter than thatof conventional group. 3) Minimally invasive aortic valve group had shorter term postoperative stay in ICU (26.0 ± 8.5, 38.1 ± 18.3 hours) and hospital (14.9 ± 4.5, 20.9 ± 2.9 days) than conventional aonic valve group. |
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| Practice | Basic medicine |
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| Keywords | MICS, Direct valve surgery, Port access surgery, Maze procedure |
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