Totally thoracoscopic closure of ventricular septal defect without a robotically assisted surgical system: A summary of 119 cases

Objectives To summarize the clinical outcomes of totally thoracoscopic closure of a ventricular septal defect (VSD). Methods Totally thoracoscopic VSD closure was performed in 119 patients (66 boys; mean age, 7.1 ± 3.6 years). An additional 35 patients undergoing open-chest VSD closure were selected...

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Bibliographic Details
Published in:The Journal of thoracic and cardiovascular surgery 2014-03, Vol.147 (3), p.863-868
Main Authors: Ma, Zeng-Shan, MD, Yang, Chang-Yong, MD, Dong, Ming-Feng, MD, Wu, Shu-Ming, MD, Wang, Le-Xin, MD, PhD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Analgesics, Opioid - therapeutic use
Atrioventricular Block - etiology
Atrioventricular Block - therapy
Blood Transfusion
Body Weight
Cardiac Pacing, Artificial
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - methods
Cardiopulmonary Bypass
Cardiothoracic Surgery
Case-Control Studies
Child
Child, Preschool
China
Echocardiography, Transesophageal
Female
Heart Septal Defects, Ventricular - diagnostic imaging
Heart Septal Defects, Ventricular - surgery
Humans
Length of Stay
Male
Pain, Postoperative - drug therapy
Pain, Postoperative - etiology
Patient Selection
Pericardiectomy
Postoperative Hemorrhage - etiology
Postoperative Hemorrhage - therapy
Thoracoscopy - adverse effects
Time Factors
Treatment Outcome
Young Adult
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Summary:Objectives To summarize the clinical outcomes of totally thoracoscopic closure of a ventricular septal defect (VSD). Methods Totally thoracoscopic VSD closure was performed in 119 patients (66 boys; mean age, 7.1 ± 3.6 years). An additional 35 patients undergoing open-chest VSD closure were selected as a control group. Using 3 port incisions in the right chest, pericardiotomy, bicaval occlusion, atriotomy, and VSD closure were performed by thoracoscopy without the aid of a robotically assisted surgical system. Results Cardiopulmonary bypass and aortic crossclamp times were 42.2 ± 9.8 and 32.5 ± 7.3 minutes, respectively. There were no deaths but 1 patient required insertion of a permanent pacemaker as a result of postoperative atrioventricular conduction block. The length of stay in the intensive care unit (11.0 ± 2.6 vs 22.9 ± 4.9 hours, P  
ISSN:0022-5223
1097-685X
DOI:10.1016/j.jtcvs.2013.10.065