微创Bentall手术新进展  

New Development of Mini-Bentall Procedure

作　　者：高竣迪 谢进生[1] GAO Jundi;XIE Jinsheng(Department of Minimally Invasive Cardiac Surgery Center,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院微创心脏外科中心,北京100029

出　　处：《心血管病学进展》2023年第4期289-292,298,共5页Advances in Cardiovascular Diseases

摘　　要：全胸骨正中切口主动脉根部置换术(Bentall手术)是外科治疗主动脉根部病变合并升主动脉病变的首选术式。在过去的20年间,微创技术在心脏外科领域发展迅猛,因此微创Bentall手术近年来在国内外也取得了令人鼓舞的成就,即输血少、疼痛轻、术后脱机快、住院时间短等。为全面了解微创Bentall手术的最新进展,现从手术入路、技术、适应证、禁忌证和临床结局等方面做一综述。The Bentall procedure with a full sternotomy is the first choice to treat ascending aorta and aortic root pathology.Over the past 2 decades,the introduction of minimally invasive,or less invasive,techniques has greatly influenced modern cardiac surgery.Therefore,mini-Bentall procedure was reported less need for blood transfusions,reduced pain,improved respiratory function,and shorter hospital length of stay compared with full Bentall procedure in recent years.In aim to understanding the advances comprehensively,mini-Bentall procedure was reviewed in following aspects of the surgical approach,skill,indication,contraindication and clinical outcome.

关 键 词：微创心脏手术 微创Bentall手术 胸骨小切口 右前外侧肋间小切口 

分 类 号：R654.2[医药卫生—外科学]