电视胸腔镜辅助下房间隔缺损修补术36例报告

目的　总结 36例电视胸腔镜下房间隔缺损修补的体外循环方法 ;　方法　 36例房间隔缺损患者 ,采用股动脉和股静脉 ,上腔静脉插管建立体外循环 ,经第七肋置入胸腔镜 ,另选第四肋打两个用作手术操作孔 ,在电视胸腔镜下行房间隔缺损修补 ;　结果　第 1例因体外循环停机后血氧饱和度在80 %～ 88% ,而延长第四肋间切口重新作心内探查 ,其他手术顺利 ,术后无并发症 ;　结论　电视胸腔镜体外循环下行房间隔缺损修补术安全可靠。

Thoracoscopy for the closure of atrial septal defect (A report of 36 cases)

Objective To investigate the method of cardiopulmonary bypass(CPB) for the repair of atrial septal defect with thoracoscopy. Methods Thirty-six patients with atrial septal defect were operated on.The artery channel and one venous channel were placed in the right femoral artery and femoral venous,the other venous channel was placed in the superior venous cave to set up CPB.The thoracoscope was put into thoracic cavity by the seventh interspace;the other two holes in the fourth interspace were used for operative procedure.The atrial septal defect was closed by thoracoscopy with the help of CPB. Results Except one patient whose incision was extended to stanch bleeding so as to avoid accidents when CPB stopped resulting in low oxygen saturation operation for other patients was successful.After operation,thirty-five patients recovered well and no complication occurred. Conclusions It is safe and reliable to repair atria septal defect with thoracoscopy with the help of CPB.