The Annals of thoracic surgery · 1998
Thoracoscopic harvest of the internal thoracic artery: a multicenter experience in 218 cases.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Duhaylongsod F G, Mayfield W R, Wolf R K
Аннотация
BACKGROUND: Off-pump bypass grafting most commonly involves harvest of the left internal thoracic artery (ITA) through a minithoracotomy under direct vision. Disadvantages to this approach, however, include poor exposure, incomplete dissection resulting in inadequate ITA length, and significant postoperative pain because of rigorous chest retraction. This study determined the safety and efficacy of an alternative to direct ITA harvest using a thoracoscopic approach.
METHODS: Two hundred eighteen patients at three institutions underwent thoracoscopic ITA harvest; 118 (54%) for off-pump coronary bypass grafting.
RESULTS: The left ITA was harvested in 211 patients (96%); the mean harvest time ranged from 42 to 55 minutes. The ITA was injured in 4 patients (1.8%), and conversion to open ITA harvest occurred in 18 (8%). Complications included intercostal neuropathy (4), reoperation for ITA bleeding (2), phrenic nerve injury (1), and wound infection (1).
CONCLUSIONS: This large, multicenter experience demonstrates that thoracoscopic harvest of the ITA can be accomplished safely and within a reasonable time frame in most patients undergoing coronary bypass grafting.
METHODS: Two hundred eighteen patients at three institutions underwent thoracoscopic ITA harvest; 118 (54%) for off-pump coronary bypass grafting.
RESULTS: The left ITA was harvested in 211 patients (96%); the mean harvest time ranged from 42 to 55 minutes. The ITA was injured in 4 patients (1.8%), and conversion to open ITA harvest occurred in 18 (8%). Complications included intercostal neuropathy (4), reoperation for ITA bleeding (2), phrenic nerve injury (1), and wound infection (1).
CONCLUSIONS: This large, multicenter experience demonstrates that thoracoscopic harvest of the ITA can be accomplished safely and within a reasonable time frame in most patients undergoing coronary bypass grafting.