体外循环手术应用腋下及腋前外切口

自１９９５年３月至１９９６年８月作者应用腋下及腋前外切口进行体外循环手术５０例。房间隔缺损１７例，室间隔缺损２６例，二尖瓣狭窄及关闭不全３例，三房心、部分型心内膜垫缺损、双腔右心室、二尖瓣关闭不全各１例。全组手术顺利，主动脉阻断时间２２．５９±１１．０６分钟，体外循环时间４０．１９±１７．１７分钟。无手术死亡及并发症。创伤轻、出血少、恢复快、腋下切口看不见手术瘢痕、美容效果好。

Cardiac operation via subaxillary and anterolateral subaxillary thoracotomy with cardiopulmonary bypass

From March 1995 to August 1996, 50 patients underwent cardiac operation through subaxillary and anterolateral subaxillary thoracotomy with cardiopulmonary bypass. 17 had atrial septal defect, 26 ventricular septal defect, 3 mitral stenosis and insufficiency, 1 isolated mitral insufficiency, 1 double chamber of right ventricle, 1 partial common atrioventricular canal, and 1 cor atriatriatum. All operations were successfully performed without technical difficulty. The cardiopulmonary bypass time was 40.19 +/- 17.17 minutes with aortic cross-clamping time of 22.59 +/- 11.06 minutes. There were no operative death and complications. In conclusion, the subaxillary and anterolateral subaxillary thoracotomy incision appears to be a minimally invasive, safe, effective and cosmetic alterative to median sternotomy for cardiac operation.