Mo Xuming,Chen Runsen.Current status and future prospects of mini-invasive surgery for congenital heart disease[J].Journal of Clinical Pediatric Surgery,2023,22(05):407-411.[doi:10.3760/cma.j.cn101785-202305003-002]
儿童先天性心脏病微创手术现状与展望
- Title:
- 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
- 摘要:
- 儿童先天性心脏病(简称先心病)微创手术包括小切口微创手术、经胸微创封堵手术、电视胸腔镜和机器人辅助手术以及镶嵌手术等。广义的微创概念还包括体外循环微创策略以及在重症监护病房采用神经保护和加速康复理念等。胸部小切口手术以右腋下小切口手术应用最多。由我国学者发起并主导的经胸微创封堵手术已成为当今先心病微创治疗的重要术式之一,也是儿童微创心脏外科以及镶嵌手术的重要组成部分。机器人手术是今后先心病微创技术的一个重要发展方向,未来先心病微创外科技术的发展应朝着智能化方向改变,以通过更微创的手术方式,为先心病患儿提供全生命周期的保障。
- 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.
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备注/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