| Japanese |
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| Title | Re-do心臓弁膜症におけるMICSの有用性 |
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| Subtitle | 原著 |
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| Authors | 村井則之, 今関隆雄, 岡田修一, 千葉知史, 斎藤政仁, 汐口荘一, 権重好, 吉田浩紹, 秦一剋, 佐藤康広, 垣伸明, 木山宏, 入江嘉仁 |
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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 | 22 |
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| Number | 3 |
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| Page | 200-203 |
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| Year/Month | 2001/ |
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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」Re-do心臓弁膜症におけるMICSの有用性について検討した. 1990年〜2001年の12年間に胸骨再切開を必要としたre-do心臓弁膜症26例を対象とし, MICS(M群)13例, full sterunotomy(F群)13例に分けて検討した. 結果M群では総手術時間(F群527.6±258.8分, M群347.9±65.0分)が短く, 術中出血量(F群4411.7±5996.7ml, M群653.5±327.0ml)・ドレーン量(F群1623.3±868.6ml, M群753.4±755.8ml)・総出血量(F群6202.7±6170.0ml, M群1406.8±996.6ml)が少なく, 人工呼吸管理時間(F群40.0±35.2時間, M群16.9±8.0時間)も短かった. re-do心臓弁膜症においてMICSは技術的に高度であるが, 手術侵襲軽減に有用であった. 「緒言」当院では1997年7月より弁膜症を中心に胸骨部分切開による開心術, いわゆるMICS(minimally invasive cardiac surgery)を開始し, 2001年4月までに約160例のMICSを施行してきた. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | Re-do, MICS, Surgical trauma |
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| English |
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| Title | MICS is Useful for Re-do Cardiac Valve Surgery |
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| Subtitle | Original article |
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| Authors | Noriyuki Murai, Takao Imazeki, Shuichi Okada, Tomohumi Chiba, Masahito Saito, Souichi Shioguchi, Shigeyoshi Gon, Hirotugu Yoshida, Ikkoku Hata, Yasuhiro Sato, Nobuaki Kaki, Hiroshi Kiyama, Yoshihito Irie |
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| Authors(kana) | |
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| Organization | Department of Cardiovascular and Thoracic Surgery, Dokkyo University Koshigaya Hospital |
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| Journal | Circulation Control |
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| Volume | 22 |
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| Number | 3 |
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| Page | 200-203 |
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| Year/Month | 2001/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Background. Minimally invasive surgery reduces surgical trauma. We studied usefulness of partial sternotomy (MICS) in re-do cardiac valve surgery. Methods. We compared two re-do cardiac valve surgery groups [MICS : n=13, full sternotomy (F) : n=13] retrospectively. Results. Operative time and extubation time were shorter in MICS (347.9 ± 65.0 minutes versus 527.6 ± 258.8 minutes, 16.9 ± 8.0 hours versus 40.0 ± 35.2). Total bleeding, bleeding during operation and drainage was small in MICS (1406.8 ±996.6 ml versus 6202.7 ± 6170.0 ml, 653.5 ± 327.0 ml versus 4411.7 ± 5996.7 ml, 753.4 ± 755.8 ml versus 1623.3 ± 868.6 ml). Conclusions. This study proved the advantage of MICS in re-do cardiac valve surgery. |
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| Practice | Basic medicine |
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| Keywords | Re-do, MICS, Surgical trauma |
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