Totally thoracoscopic repair of atrial septal defect without robotic assistance: A single-center experience
Objective The recent advent of robotically assisted surgery has enabled totally endoscopic repair of atrial septal defects and patent foramen ovale. This study investigates the feasibility and safety of totally endoscopic repair of an atrial septal defect through small incisions on the chest without...
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| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 2011-06, Vol.141 (6), p.1380-1383 |
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| creator | Ma, Zeng-Shan, MD, PhD Dong, Ming-Feng, MD Yin, Qiu-Yang, MD Feng, Zhi-Yu, MD Wang, Le-Xin, MD, PhD |
| description | Objective The recent advent of robotically assisted surgery has enabled totally endoscopic repair of atrial septal defects and patent foramen ovale. This study investigates the feasibility and safety of totally endoscopic repair of an atrial septal defect through small incisions on the chest without robotic assistance. Methods Forty patients (23 female patients; average age, 15.4 ± 8.7 years; age range, 6–47 years) with secundum-type ASDs were selected for this study. Cardiopulmonary bypass was achieved peripherally. Through 3-port incisions in the right chest, pericardiotomy, bicaval occlusion, atriotomy, and ASD repair were performed by a surgeon through a thoracoscopy. Results The cardiopulmonary bypass and aortic crossclamp times were 56.2 ± 21.1 and 38.3 ± 8.6 minutes, respectively. The length of stay in the intensive care unit was 23.0 ± 4.1 hours. There were no mortalities and no major complications in this cohort. Patients were discharged from the hospital 4 to 6 days after the operation. Transesophageal echocardiographic analysis immediately after the operation and at 30 days showed complete closure of the defect without residual shunt. Conclusions Totally endoscopic atrial septal defect repair can be achieved without a robotically assisted surgical system. This technique is safe and effective and can be used as a therapeutic option for ASD. |
| doi_str_mv | 10.1016/j.jtcvs.2010.10.028 |
| format | Article |
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This study investigates the feasibility and safety of totally endoscopic repair of an atrial septal defect through small incisions on the chest without robotic assistance. Methods Forty patients (23 female patients; average age, 15.4 ± 8.7 years; age range, 6–47 years) with secundum-type ASDs were selected for this study. Cardiopulmonary bypass was achieved peripherally. Through 3-port incisions in the right chest, pericardiotomy, bicaval occlusion, atriotomy, and ASD repair were performed by a surgeon through a thoracoscopy. Results The cardiopulmonary bypass and aortic crossclamp times were 56.2 ± 21.1 and 38.3 ± 8.6 minutes, respectively. The length of stay in the intensive care unit was 23.0 ± 4.1 hours. There were no mortalities and no major complications in this cohort. Patients were discharged from the hospital 4 to 6 days after the operation. Transesophageal echocardiographic analysis immediately after the operation and at 30 days showed complete closure of the defect without residual shunt. Conclusions Totally endoscopic atrial septal defect repair can be achieved without a robotically assisted surgical system. This technique is safe and effective and can be used as a therapeutic option for ASD.</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/j.jtcvs.2010.10.028</identifier><identifier>PMID: 21168159</identifier><identifier>CODEN: JTCSAQ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Analysis of Variance ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Cardiac Surgical Procedures ; Cardiology. Vascular system ; Cardiopulmonary Bypass ; Cardiothoracic Surgery ; Child ; China ; Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava ; Constriction ; Critical Care ; Echocardiography, Transesophageal ; Feasibility Studies ; Female ; Heart ; Heart Septal Defects, Atrial - diagnostic imaging ; Heart Septal Defects, Atrial - surgery ; Humans ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Pericardiectomy ; Pneumology ; Robotics ; Thoracoscopy ; Time Factors ; Treatment Outcome ; Young Adult</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 2011-06, Vol.141 (6), p.1380-1383</ispartof><rights>2011</rights><rights>2015 INIST-CNRS</rights><rights>Crown Copyright © 2011. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c554t-a799fda6c1d4b1a06f868e5a84a8b7081da1e6c06d446801c0c7ed7d4e88126b3</citedby><cites>FETCH-LOGICAL-c554t-a799fda6c1d4b1a06f868e5a84a8b7081da1e6c06d446801c0c7ed7d4e88126b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jtcvs.2010.10.028$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24207385$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21168159$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ma, Zeng-Shan, MD, PhD</creatorcontrib><creatorcontrib>Dong, Ming-Feng, MD</creatorcontrib><creatorcontrib>Yin, Qiu-Yang, MD</creatorcontrib><creatorcontrib>Feng, Zhi-Yu, MD</creatorcontrib><creatorcontrib>Wang, Le-Xin, MD, PhD</creatorcontrib><title>Totally thoracoscopic repair of atrial septal defect without robotic assistance: A single-center experience</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Objective The recent advent of robotically assisted surgery has enabled totally endoscopic repair of atrial septal defects and patent foramen ovale. This study investigates the feasibility and safety of totally endoscopic repair of an atrial septal defect through small incisions on the chest without robotic assistance. Methods Forty patients (23 female patients; average age, 15.4 ± 8.7 years; age range, 6–47 years) with secundum-type ASDs were selected for this study. Cardiopulmonary bypass was achieved peripherally. Through 3-port incisions in the right chest, pericardiotomy, bicaval occlusion, atriotomy, and ASD repair were performed by a surgeon through a thoracoscopy. Results The cardiopulmonary bypass and aortic crossclamp times were 56.2 ± 21.1 and 38.3 ± 8.6 minutes, respectively. The length of stay in the intensive care unit was 23.0 ± 4.1 hours. There were no mortalities and no major complications in this cohort. Patients were discharged from the hospital 4 to 6 days after the operation. Transesophageal echocardiographic analysis immediately after the operation and at 30 days showed complete closure of the defect without residual shunt. Conclusions Totally endoscopic atrial septal defect repair can be achieved without a robotically assisted surgical system. This technique is safe and effective and can be used as a therapeutic option for ASD.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgical Procedures</subject><subject>Cardiology. Vascular system</subject><subject>Cardiopulmonary Bypass</subject><subject>Cardiothoracic Surgery</subject><subject>Child</subject><subject>China</subject><subject>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</subject><subject>Constriction</subject><subject>Critical Care</subject><subject>Echocardiography, Transesophageal</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Heart</subject><subject>Heart Septal Defects, Atrial - diagnostic imaging</subject><subject>Heart Septal Defects, Atrial - surgery</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pericardiectomy</subject><subject>Pneumology</subject><subject>Robotics</subject><subject>Thoracoscopy</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkl2L1DAUhoMo7rj6CwTJjXjV8SRN01RwYVn8ggUvXMG7kKanmm6nqUm6Ov_edGZU8MarwMnzvgkPh5CnDLYMmHw5bIdk7-KWw2GyBa7ukQ2Dpi6kqr7cJxsAzouK8_KMPIpxAIAaWPOQnHHGpGJVsyG3Nz6ZcdzT9M0HY320fnaWBpyNC9T31KTgzEgjzpmjHfZoE_3hMr4kGnzrU8ZNjC4mM1l8RS9pdNPXEQuLU8JA8eeMwWG-e0we9GaM-OR0npPPb9_cXL0vrj---3B1eV3YqhKpMHXT9J2RlnWiZQZkr6TCyihhVFuDYp1hKC3ITgipgFmwNXZ1J1ApxmVbnpMXx945-O8LxqR3LlocRzOhX6LOddmV4CqT5ZG0wccYsNdzcDsT9pqBXiXrQR8k61XyOoRD6tmpf2l32P3J_LaagecnwERrxj5kMy7-5QSHulRV5l4fOcw27hwGHe3BVOdC1qw77_7zkYt_8nZ0k8tP3uIe4-CXMGXRmunINehP6z6s68AAGBdClL8ABLOyVg</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Ma, Zeng-Shan, MD, PhD</creator><creator>Dong, Ming-Feng, MD</creator><creator>Yin, Qiu-Yang, MD</creator><creator>Feng, Zhi-Yu, MD</creator><creator>Wang, Le-Xin, MD, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110601</creationdate><title>Totally thoracoscopic repair of atrial septal defect without robotic assistance: A single-center experience</title><author>Ma, Zeng-Shan, MD, PhD ; Dong, Ming-Feng, MD ; Yin, Qiu-Yang, MD ; Feng, Zhi-Yu, MD ; Wang, Le-Xin, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c554t-a799fda6c1d4b1a06f868e5a84a8b7081da1e6c06d446801c0c7ed7d4e88126b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgical Procedures</topic><topic>Cardiology. Vascular system</topic><topic>Cardiopulmonary Bypass</topic><topic>Cardiothoracic Surgery</topic><topic>Child</topic><topic>China</topic><topic>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</topic><topic>Constriction</topic><topic>Critical Care</topic><topic>Echocardiography, Transesophageal</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Heart</topic><topic>Heart Septal Defects, Atrial - diagnostic imaging</topic><topic>Heart Septal Defects, Atrial - surgery</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pericardiectomy</topic><topic>Pneumology</topic><topic>Robotics</topic><topic>Thoracoscopy</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ma, Zeng-Shan, MD, PhD</creatorcontrib><creatorcontrib>Dong, Ming-Feng, MD</creatorcontrib><creatorcontrib>Yin, Qiu-Yang, MD</creatorcontrib><creatorcontrib>Feng, Zhi-Yu, MD</creatorcontrib><creatorcontrib>Wang, Le-Xin, MD, PhD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ma, Zeng-Shan, MD, PhD</au><au>Dong, Ming-Feng, MD</au><au>Yin, Qiu-Yang, MD</au><au>Feng, Zhi-Yu, MD</au><au>Wang, Le-Xin, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Totally thoracoscopic repair of atrial septal defect without robotic assistance: A single-center experience</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>141</volume><issue>6</issue><spage>1380</spage><epage>1383</epage><pages>1380-1383</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><coden>JTCSAQ</coden><abstract>Objective The recent advent of robotically assisted surgery has enabled totally endoscopic repair of atrial septal defects and patent foramen ovale. This study investigates the feasibility and safety of totally endoscopic repair of an atrial septal defect through small incisions on the chest without robotic assistance. Methods Forty patients (23 female patients; average age, 15.4 ± 8.7 years; age range, 6–47 years) with secundum-type ASDs were selected for this study. Cardiopulmonary bypass was achieved peripherally. Through 3-port incisions in the right chest, pericardiotomy, bicaval occlusion, atriotomy, and ASD repair were performed by a surgeon through a thoracoscopy. Results The cardiopulmonary bypass and aortic crossclamp times were 56.2 ± 21.1 and 38.3 ± 8.6 minutes, respectively. The length of stay in the intensive care unit was 23.0 ± 4.1 hours. There were no mortalities and no major complications in this cohort. Patients were discharged from the hospital 4 to 6 days after the operation. Transesophageal echocardiographic analysis immediately after the operation and at 30 days showed complete closure of the defect without residual shunt. Conclusions Totally endoscopic atrial septal defect repair can be achieved without a robotically assisted surgical system. This technique is safe and effective and can be used as a therapeutic option for ASD.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>21168159</pmid><doi>10.1016/j.jtcvs.2010.10.028</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Analysis of Variance Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiac Surgical Procedures Cardiology. Vascular system Cardiopulmonary Bypass Cardiothoracic Surgery Child China Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava Constriction Critical Care Echocardiography, Transesophageal Feasibility Studies Female Heart Heart Septal Defects, Atrial - diagnostic imaging Heart Septal Defects, Atrial - surgery Humans Length of Stay Male Medical sciences Middle Aged Pericardiectomy Pneumology Robotics Thoracoscopy Time Factors Treatment Outcome Young Adult |
| title | Totally thoracoscopic repair of atrial septal defect without robotic assistance: A single-center experience |
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