Jun Ma1, Wenlin Shangguan2,3, Liang-Wan Chen2,3, Dong-Shan Liao4. 1. Affiliated Hospital of Jining Medical University, Jining, China. 2. Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001, China. 3. Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University), Fujian Province University, Fuzhou, China. 4. Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001, China. liao89612@163.com.
Abstract
BACKGROUND: To analyze the clinical effect of two different ways of minimally invasive transthoracic closure in children with ventricular septal defect (VSD). METHODS: From January 2015 to July 2019, 294 children with VSD were enrolled in the Fujian Medical University Union Hospital. Patients were divided into two groups - those who underwent VSD closure through the left sternal fourth intercostal incision (group A: n = 95) and the lower sternal incision (group B: n = 129). RESULTS: The operation time, bleeding volume, postoperative mechanical ventilation time, postoperative intensive care unit (ICU) monitoring time, postoperative hospitalization time and complication rate in group A were significantly lower than those in group B (P < 0.05). There was no significant difference between the two groups in the operation success rate, mechanical ventilation time and total hospitalization cost (P > 0.05). CONCLUSION: The transthoracic closure of ventricular septal defect through the left sternal fourth intercostal incision is feasible, safe, cosmetic, and worth popularizing.
BACKGROUND: To analyze the clinical effect of two different ways of minimally invasive transthoracic closure in children with ventricular septal defect (VSD). METHODS: From January 2015 to July 2019, 294 children with VSD were enrolled in the Fujian Medical University Union Hospital. Patients were divided into two groups - those who underwent VSD closure through the left sternal fourth intercostal incision (group A: n = 95) and the lower sternal incision (group B: n = 129). RESULTS: The operation time, bleeding volume, postoperative mechanical ventilation time, postoperative intensive care unit (ICU) monitoring time, postoperative hospitalization time and complication rate in group A were significantly lower than those in group B (P < 0.05). There was no significant difference between the two groups in the operation success rate, mechanical ventilation time and total hospitalization cost (P > 0.05). CONCLUSION: The transthoracic closure of ventricular septal defect through the left sternal fourth intercostal incision is feasible, safe, cosmetic, and worth popularizing.
Authors: J W Roos-Hesselink; F J Meijboom; S E C Spitaels; R Van Domburg; E H M Van Rijen; E M W J Utens; A J J C Bogers; M L Simoons Journal: Eur Heart J Date: 2004-06 Impact factor: 29.983
Authors: Brandi Braud Scully; David L S Morales; Farhan Zafar; E Dean McKenzie; Charles D Fraser; Jeffrey S Heinle Journal: Ann Thorac Surg Date: 2010-02 Impact factor: 4.330