Transxiphoid Approach Without Median Sternotomy for the Repair of Atrial Septal Defects

Barbero-Marcial, Miguel; Tanamati, Carla; Jatene, Marcelo Biscegli; Atik, Edmar; Jatene, Adib

doi:10.1016/s0003-4975(97)01433-1

Cited by 85 publications

(46 citation statements)

References 11 publications

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“…Our first description of the transxiphoid approach, dated 1999 [7], delineated an extra-rib cage access to the thorax. We chose the term "transxiphoid," already widely employed in cardiac surgery [18], because we found the removal of this appendix extremely advantageous to facilitate hand insertion into the thorax with a marginal discomfort for patient and surgeon.…”

Section: Commentmentioning

confidence: 99%

Transxiphoid Hand-Assisted Videothoracoscopic Surgery

Mineo

Ambrogi

Mineo

et al. 2007

The Annals of Thoracic Surgery

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Background. We have performed transxiphoid handassisted videothoracoscopy since 1995 to allow manual palpation in bilateral lung metastasectomy. This approach was extended to other thoracoscopic procedures requiring a handport. No extensive report about early and late results has yet been published.Methods. We retrospectively reviewed the first 100 consecutive patients undergoing transxiphoid hand-assisted videothoracoscopy. Acute and chronic postoperative pain, respiratory function, patient's satisfaction score (1 to 5), quality of life (Short Form-36), and survival rate were evaluated.Results. Seventy-four patients had lung metastases, 5 had primary lung cancers, 16 had benign nodules, and 5 had Morgani's hernia. Five patients needed conversion to thoracotomy, whereas 7 successfully underwent a second transxiphoid operation. Sixty-five metastatic patients were bilaterally explored, 44 were without radiologic evidence of controlateral lesions, discovering 23 occult metastases and 10 patients with occult controlateral disease. A total of 207 minimal resections and 11 lobecto-

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Section: Commentmentioning

confidence: 99%

Transxiphoid Hand-Assisted Videothoracoscopic Surgery

Mineo

Ambrogi

Mineo

et al. 2007

The Annals of Thoracic Surgery

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“…Minimally invasive surgery and off-pump CABG are important factors in the decrease of mediastinitis events because both surgeries reduce surgical trauma and provide a faster patient recovery [10,11]. The use of more efficient antibiotics has also been described as an important factor to control mediastinitis.…”

Section: Discussionmentioning

confidence: 99%

O uso da vancomicina em pasta na hemostasia do esterno e profilaxia da mediastinite

Arruda¹,

Braile

Joaquim³

et al. 2008

Rev Bras Cir Cardiovasc

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“…With the introduction of these advances, cosmetic and functional satisfaction with surgical outcomes have become more important. [1] To date, many different techniques have been described for cosmetic concerns such as full sternotomy with limited skin incision, [2] right anterolateral thoracotomy, [3,4] posterolateral thoracotomy, [5] robotic procedures, [6] a trans-xiphoid approach without a sternotomy [7] or different portaccess cardiac surgery. [8] Although cannulation of the femoral artery is the preferred method, ascending aortic cannulation is more advantageous due to the safety and cosmesis.…”

Section: Cite This Article Asmentioning

confidence: 99%

Atrial septal defect closure via right mini-thoracotomy: Our single center experience

Taşoğlu¹

2017

Turk Gogus Kalp Dama

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ÖZAmaç: Bu yazıda santral kanülasyon ve sağ minitorakotomi ile atriyal septal defekt tamiri deneyimimiz sunuldu.Ça lış ma pla nı: Ocak 2013 -Haziran 2016 tarihleri arasında, toplam 148 hastada (93 kadın, 55 erkek; ort. yaş 15.7 yıl; dağılım 1.5-50 yıl) atriyal septal defektler sağ minitorakotomi ile kapatıldı. Sağ minitorakotomi insizyon yerine hastaların yaşı ve cinsiyetine göre karar verildi. Tüm hastalarda santral aortik ve bikaval kanülasyon uygulandı. Cilt insizyonu 13 yaş altı çocuklarda 5±1 cm, 13 yaş üstü çocuklarda 6±1.5 cm ve yetişkinlerde 7.5 cm uzunluğunda idi. Atriyal septal defektler tüm hastalarda sağ minitorakotomi ile başarıyla kapatıldı (3 triküspid yetmezliği, 17 parsiyel anormal pulmoner venöz dönüş anomalisi ve 2 Scimitar sendromu). Bul gu lar:Hiçbir hastada mortalite izlenmedi. Ameliyat sırasında acil sternotomi veya femoral kanülasyon ihtiyacı olmadı. Ortalama kardiyopulmoner baypas süresi 38±8.2 dk. iken, ortalama aortik krosklemp süresi 16±3.8 dk. ve ortalama ameliyat süresi 124±11.3 dk. idi. Ortalama yoğun bakımda kalış süresi 22 saat ve hastane kalış süresi 4 ila 6 gün idi. Dört hastada (%3.25) ekokardiyografide hemodinamik olarak hemodinamik açıdan önemsiz rezidüel atriyal septal defekt saptandı.So nuç: Atriyal septal defektlerin düzeltilmesinde submammaryan insizyon ile birlikte sağ minitorakotominin iyi estetik sonuçlar ile birlikte güvenli ve etkili bir teknik olduğu düşünülmektedir.Anah tar söz cük ler: Atriyal septal defekt; doğuştan kalp hastalığı; estetik; minimal invaziv. ABSTRACTBackground:In this article, we report our experience with repair of atrial septal defects through central cannulation and a right mini-thoracotomy.

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Transxiphoid Approach Without Median Sternotomy for the Repair of Atrial Septal Defects

Cited by 85 publications

References 11 publications

Transxiphoid Hand-Assisted Videothoracoscopic Surgery

Transxiphoid Hand-Assisted Videothoracoscopic Surgery

O uso da vancomicina em pasta na hemostasia do esterno e profilaxia da mediastinite

Atrial septal defect closure via right mini-thoracotomy: Our single center experience

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