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Kết quả phẫu thuật thay van 2 lá cơ học qua đường mở ngực phải nhỏ với nội soi lồng ngực hỗ trợ

Phẫu thuật ít xâm lấn là xu hướng chung của y học hiện đại, Phẫu thuật tim ít xâm lấn cũng đã được triển khai mạnh mẽ gần đây ở nước ta. Bệnh viện Thống Nhất bắt đầu triển khai phẫu thuật tim hở ít xâm lấn từ năm 2018, nhằm mục tiêu đánh giá kết quả của phẫu thuật thay van 2 lá cơ học qua đường mở ngực phải nhỏ có nội soi lồng ngực hỗ trợ và rút ra những kinh nghiệm trong thời gian gần đây chúng tôi thực hiện nghiên cứu này. | Vietnam Journal of Community Medicine Vol. 64 Special Issue 8 2023 394-400 INSTITUTE OF COMMUNITY HEALTH RESULTS OF MECHANICAL MITRAL VALVE REPLACEMENT BY VIDEO-ASSISTED MINIMALLY INVASIVE CARDIAC SURGERY VIA RIGHT MINITHORACOTOMY Do Kim Que1 Nguyen Anh Trung1 Do Cao Duy Anh2 1 Thong Nhat Hopital - No. 1 Ly Thuong Kiet Ward 7 Tan Binh District Ho Chi Minh City Vietnam 2 University Medical Center HCMC - 215 Hong Bang Ward 11 District 5 Ho Chi Minh city Vietnam Received 10 07 2023 Revised 26 08 2023 Accepted 22 09 2023 ABSTRACT Background Minimal invasive cardiac surgery MICS has been proven being beneficial for recent decades. We have started MICS since July 2018 in Thong Nhat hospital. The aim of this study is to assess the results of mechanical mitral valve replacement by Video-assisted minimally invasive cardiac surgery via right minithoracotomy in our hospital. Method We collect all of the patients who underwent mechanical mitral valve replacement by Video-assisted minimally invasive cardiac surgery via right minithoracotomy in Thong Nhat hospital from 12 2020 to 7 2023. Results There are 26 patients who underwent mechanical mitral valve replacement by Video- assisted minimally invasive cardiac surgery via right minithoracotomy. Mean age was 53 2 8 8 range 25 62 . Male to female ratio was 1 1. All patients received endotracheal anesthesia with selective bronchial intubation. CPB was performed with femoral artery cannulation with separated IVC and SVC cannulation from the right jugular vein and femoral vein. Mean CPB time was 174 6 57 8 minutes range 87 - 250 . Mean aortic cross-clamp time was 102 3 40 4 minutes range 57 - 206 . MAZE COX IV procedure in 4 cases and TAP in 05 case. No death only one patient has bleeding and need rethoracothomy for bleeding control. Conclusions Mechanical mitral valve replacement by Video-assisted minimally invasive cardiac surgery via right minithoracotomy was safe and feasible. The outcomes are satisfactory with low morbidity .