7例心脏畸形合并胸廓畸形的电视胸腔镜一期手术治疗

目的 总结完全胸腔镜及胸腔镜辅助下行心脏畸形合并胸廓畸形矫治术7例的经验,探讨胸腔镜在心脏畸形合并胸廓畸形手术过程中的应用.方法 2010年5月至2011年5月,行胸腔镜下房缺修补术合并漏斗胸3例,室缺修补术合并漏斗胸3例,室缺合并鸡胸1例.其中男性4例,女性3例,年龄2.5～16.0岁,体重15～41 kg.结果 术中无扩大切口,无二次开胸止血,手术时间3.5～6.0 h,平均4.7 h,体外循环时间50～81 min,平均48 min,升主动脉阻断时间30～61 min,平均42 min.术后患者恢复良好,治疗效果满意.结论 心脏畸形复合胸廓畸形在胸腔镜下或胸腔镜辅助下手术治疗安全、可行.

Onestage operation treatment of 7 patients with cardiac anomaly complicating thoracic deformity neoplasty by thoracoscope

Objective To summarize the experience of 7 patients with cardiac anomaly complicating thoracic deformity neoplasty by thoracoscope completely and auxiliary thoracoscope. To discuss the thoracoscopic application in cardiac anomaly complicating thoracic deformity neoplasty. Methods From May 2010 to May 201t, atrial septal defect complicating pectus excavatum neoplasty in 3 cases, ventricular septal defect complicating pectus excavatum neoplasty in 3 cases, ventricular septal defect complicating pectus carinatum neoplasty in 1 cases by thoracoscope. All were men in 4 cases, women in 3 cases, age 2.5-16.0 years old, weight 15-41 kg. Results Without expanding incision and secondary open-chest bleeding intraoperatively, the time of the operation 3.5 to 6.0 h, the average 4.7 h, extracorporeal circulation time 50-81 min, the average 48 min, aorta blocking time 30- 61 min, the average 42 min. Postoperatively patients recovered well and were satisfied for treatment effect. Conclusion It was safe and effective that cardiac anomaly complicating thoracic deformity neoplasty by thoracoscope and auxiliary thoracoscope.