Mo Xuming,Chen Runsen.Current status and future prospects of mini-invasive surgery for congenital heart disease[J].Journal of Clinical Pediatric Surgery,,22():407-411.[doi:10.3760/cma.j.cn101785-202305003-002]
Current status and future prospects of mini-invasive surgery for congenital heart disease
- Keywords:
- Heart Diseases; Congenital Abnormalities; Minimally Invasive Surgical Procedures; Surgical Procedures; Operative; Child
- Abstract:
- Mini-invasive surgery for congenital heart disease (CHD) in children includes small-incision mini-invasive surgery,mini-invasive transthoracic device closure,video-assisted thoracoscopy,robot-assisted surgery and hybird surgery.And a broader concept of mini-invasive surgery also incorporates mini-invasive strategies for cardiopulmonary bypass and conceptual applications of neuroprotection and accelerated rehabilitation in intensive care unit.Right subaxillary small incision is the most widely applied in small-incision thoracic surgery.Mini-invasive transthoracic device closure championed by Chinese scholars has become one of the important procedures for mini-invasive treatment of CHD,as well as an integral part of mini-invasive cardiac surgery and hybird surgery in children.Robotic surgery is an important development direction of mini-invasive technology for CHD in the future.Mini-invasive surgical techniques for CHD should advance towards the direction of greater intelligence,aiming to provide full-life cycle protection for CHD children via a more mini-invasive approach.
References:
[1] Karangelis D,Androutsopoulou V,Tzifa A,et al.Minimally invasive cardiac surgery:in the pursuit to treat more and hurt less[J].J Thorac Dis,2021,13(11):6209-6213.DOI:10.21037/jtd-21-1498.
[2] Niinami H,Takeuchi Y,Suda Y,et al.Lower sternal splitting approach for off-pump coronary artery bypass grafting[J].Ann ThoracSurg,2000,70(4):1431-1433.DOI:10.1016/s0003-4975(00)01684-2.
[3] Garcia Vieites M,Cardenas I,Loyola H,et al.Lower mini-sternotomy in congenital heart disease:just a cosmetic improvement?[J].Interact Cardiovasc Thorac Surg,2015,21(3):374-378.DOI:10.1093/icvts/ivv163.
[4] 刘迎龙,张宏家,孙寒松,等.右外侧小切口剖胸小儿先天性心脏畸形矫治术319例体会[J].中华外科杂志,1998,36(7):403-405.DOI:10.3760/j:issn:0529-5815.1998.07.007. Liu YL,Zhang HJ,Sun HS,et al.Correction of cardiac defects through a right mini-thoracotomy in children:a report of 319 cases[J].Chin J Surg,1998,36(7):403-405.DOI:10.3760/j:issn:0529-5815.1998.07.007.
[5] 刘迎龙,张宏家,孙寒松,等.右胸外侧小切口小儿先天性心脏畸形矫治术793例体会[J].中国循环杂志,2000,15(4):201-203. Liu YL,Zhang HJ,Sun HS,et al.Correction of cardiac defects through right thoracotomy via a small incision in children[J].Chin Circul J,2000,15(4):201-203.
[6] Grinda JM,Folliguet TA,Dervanian P,et al.Right anterolateral thoracotomy for repair of atrial septal defect[J].Ann Thorac Surg,1996,62(1):175-178.DOI:10.1016/0003-4975(96)00182-8.
[7] Yang X,Wang D,Wu Q.Repair of atrial septal defect through a minimal right vertical infra-axillary thoracotomy in a beating heart[J].Ann ThoracSurg,2001,71(6):2053-2054.DOI:10.1016/s0003-4975(01)02470-5.
[8] An GY,Zhang HY,Zheng SG,et al.Mid-term outcomes of common congenital heart defects corrected through a right subaxillarythoracotomy[J].Heart Lung Circ,2017,26(4):376-382.DOI:10.1016/j.hlc.2015.05.028.
[9] 李晓锋,苏俊武,张晶,等.右侧腋下小切口入路矫治法洛四联症的技术要点分析[J].中华解剖与临床杂志,2014,19(3):180-182.DOI:10.3760/cma.j.issn.2095-7041.2014.03.002. Li XF,Su JW,Zhang J,et al.Key surgical techniques for complete correction of tetralogy of Fallot through right lateral mini-thoracotomy[J].Chin J Anat Clin,2014,19(3):180-182.DOI:10.3760/cma.j.issn.2095-7041.2014.03.002.
[10] Wu Q,Xing QS,Chen ZY,et al.Successful off-pump device closure of an isolated perimembraneous ventricular septal defect using a series of six occluders in a 5 kg infant via a minimally invasive approach[J].Eur Heart J,2010,31(21):2659.DOI:10.1093/eurheartj/ehq262.
[11] 吕蓓,陈瑞,任悦义,等.超声引导下经胸微创封堵治疗先心病的远期随访结果分析[J].临床小儿外科杂,2022,21(2):162-169.DOI:10.3760/cma.j.cn.101785-202104076-012. Lyu B,Chen R,Ren YY,et al.Mini-invasive transthoracic device closure of congenital heart disease under the guidance of transesophageal echocardiogram:long-term follow-up results[J].J Clin Ped Sur,2022,21(2):162-169.DOI:10.3760/cma.j.cn.101785-202104076-012.
[12] Zhang DW,Pan XB,Li P,et al.Trans-jugular transcatheter closure of atrial septal defect solely under echocardiography guidance in infants[J].Natl Med J China,2019,99(6):458-461.DOI:10.3760/cma.j.issn.0376-2491.2019.06.015.
[13] Mo XM,Qi JR,Zuo WS.Percutaneous punctured transcatheter device closure of residual shunt after ventricular septal defect repair[J].Case Rep Cardiol,2016,2016:8124731.DOI:10.1155/2016/8124731.
[14] 莫绪明,戚继荣,彭卫,等.经皮胸前穿刺封堵室间隔缺损的近期效果[J].中华胸心血管外科杂志,2017,33(10):577-579.DOI:10.3760/cma.j.issn.1001-4497.2017.10.001. Mo XM,Qi JR,Peng W,et al.Immediate outcomes of percutaneous punctured transcatheter device closure of ventricular septal defect[J].Chin J Thorac Cardiovasc Surg,2017,33(10):577-579.DOI:10.3760/cma.j.issn.1001-4497.2017.10.001.
[15] 干昌平,彭玲,梁终磊,等.经皮穿刺右心室封堵干下型室间隔缺损一例[J].中国胸心血管外科临床杂志,2016,23(7):749-750.DOI:10.7507/1007-4848.20160179. Gan CP,Peng L,Liang ZL,et al.Percutaneous right ventricular closure of subarterial ventricular septal defect:one case report[J].Chin J Clin Thorac Cardiovasc Surg,2016,23(7):749-750.DOI:10.7507/1007-4848.20160179.
[16] Liu GL,Qiao YL,Ma LM,et al.Totally thoracoscopic surgery for the treatment of atrial septal defect without of the robotic Da Vinci surgical system[J].J Cardiothorac Surg,2013,8:119.DOI:10.1186/1749-8090-8-119.
[17] Yao DK,Chen H,Ma LL,et al.Totally endoscopic atrial septal repair with or without robotic assistance:a systematic review and meta-analysis of case series[J].Heart Lung Circ,2013,22(6):433-440.DOI:10.1016/j.hlc.2012.12.019.
[18] Moorthy K,Munz Y,Dosis A,et al.Dexterity enhancement with robotic surgery[J].Surg Endosc,2004,18(5):790-795.DOI:10.1007/s00464-003-8922-2.
[19] Ying LY,Wang XK,Liu XW,et al.Application of robot-assisted endoscopic technique in the treatment of patent ductusarteriosus in 106 children[J].J Robot Surg,2023.DOI:10.1007/s11701-023-01537-7.
[20] Suematsu Y,Mora BN,Mihaljevic T,et al.Totally endoscopic robotic-assisted repair of patent ductusarteriosus and vascular ring in children[J].Ann ThoracSurg,2005,80(6):2309-2313.DOI:10.1016/j.athoracsur.2005.05.078.
[21] Hjortdal VE,Redington AN,de Leval MR,et al.Hybrid approaches to complex congenital cardiac surgery[J].Eur J CardiothoracSurg,2002,22(6):885-890.DOI:10.1016/s1010-7940(02)00586-9.
[22] 莫绪明.先天性心脏病的镶嵌治疗[J].临床小儿外科杂志,2010,9(1):1-3.DOI:10.3969/j.issn.1671-6353.2010.01.001. Mo XM.Hybrid treatment of congenital heart disease[J].J Clin Ped Sur,2010,9(1):1-3.DOI:10.3969/j.issn.1671-6353.2010.01.001.
[23] Chen Q,Parry AJ.The current role of hybrid procedures in the stage 1 palliation of patients with hypoplastic left heart syndrome[J].Eur J CardiothoracSurg,2009,36(1):77-83.DOI:10.1016/j.ejcts.2009.01.030.
Memo
收稿日期:2023-4-23。
基金项目:国家自然科学基金面上项目(81970265);江苏省科技计划(资金)重大科技示范项目(BE2023710006)
通讯作者:莫绪明,Email:mohsuming15@sina.com