초록접수 현황
| 15F-256 | 포럼 발표 |
Surgical Outcomes of Cardiac Myxoma: Right Mini-thoracotomy Approach Versus Median Sternotomy Approach
이한필¹, 조원철², 김준범¹, 정성호¹, 주석중¹, 정철현¹, 이재원¹
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea¹, Departments of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangwon-do, Republic of Korea²
Background : The standard approach to treat cardiac myxoma is the median full sternotomy. With the evolution of surgical techniques, the right mini-thoracotomy approach has been emerged as a competitive method. Since there were a few studies for right mini-thoracotomy approach, we performed a retrospective study to compare clinical outcomes of the right mini-thoracotomy approach with those of the sternotomy approach.
Methods : From January 2005 to December 2014, 203 patients underwent resection of cardiac myxoma. Patients with preexisting cardiac problems were excluded. 146 patients were enrolled in our research. 83 patients were treated through the median sternotomy and 63 patients were treated through the right mini-thoracotomy.
Results : There was no early mortality in both groups. Although the cardiopulmonary bypass(CPB) time and aorta cross-clamp (ACC) time were significantly shorter in the sternotomy group (p<0.001, p=0.005), postoperative blood transfusion and event of arrhythmia were significantly lower in the thoracotomy group (p=0.004, p=0.025). There were no significant differences in hospital stay, postoperative intubation time, intensive care unit (ICU) stay, and recurrence.
Conclusion : Minimally invasive right mini-thoracotomy approach to treat cardiac myxoma is competitive method compared with the conventional sternotomy approach in terms of postoperative complications and a shorter period of recovery from operation.
Methods : From January 2005 to December 2014, 203 patients underwent resection of cardiac myxoma. Patients with preexisting cardiac problems were excluded. 146 patients were enrolled in our research. 83 patients were treated through the median sternotomy and 63 patients were treated through the right mini-thoracotomy.
Results : There was no early mortality in both groups. Although the cardiopulmonary bypass(CPB) time and aorta cross-clamp (ACC) time were significantly shorter in the sternotomy group (p<0.001, p=0.005), postoperative blood transfusion and event of arrhythmia were significantly lower in the thoracotomy group (p=0.004, p=0.025). There were no significant differences in hospital stay, postoperative intubation time, intensive care unit (ICU) stay, and recurrence.
Conclusion : Minimally invasive right mini-thoracotomy approach to treat cardiac myxoma is competitive method compared with the conventional sternotomy approach in terms of postoperative complications and a shorter period of recovery from operation.
책임저자: 정성호
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
연락처 : 이한필, Tel: 010-8288-6147 , E-mail : inis.lee@gmail.com
