<Original Paper>A Comparison of Partial and Full Median Sternotomy for Re-do Cardiac Valve Surgery

概要

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Background. Minimally invasive cardiac surgery (MICS) has been reported to reduce surgical trauma, postoperative pain, blood loss, and length of stay. This study compares MICS using partial sternomy with full sternotomy in re- do cardiac valve surgery. Methods. The records of 20 patients who underwent full median sternotomy (group F) and 17 patients who underwent MICS (group M) for re- do cardiac valve surgery from April 1990 to April 2001 were compared retrospectively. Results. Time of operation (skin-to-skin), perfusion time, time of extubation, and length of Intensive Care Unit stay were shorter in group M than group F (352.19 ± 76.05 min vs. 510.70 ± 256.26 min, 143.65 ± 29.41 min vs. 254.60 ± 192.72 min, 16.31 ± 7.56 h vs. 48.47 ± 40.14 h, 2.13 ± 0.81 days vs. 4.53 ± 2.20 days). Intra operative blood loss and chest drainage also were less in group M than group F (774.53 ± 415.48 mL vs. 3781.30 ± 5207.07 mL, 779.70 ± 666.48 mL vs. 1687.56 ± 984.23 mL). Conclusions. This study demonstrates the advantages of MICS for re-do cardiac valve surgery.
獨協医科大学の論文
2003-07-25