微创技术在儿童心脏外科手术的应用及其研究进展  

Application and research progress of minimally invasive technique in pediatric cardiac surgery

作　　者：吴世群 王石雄[1] 曹泽辉 张奇梁 柳德斌[1,2] Wu Shiqun;Wang Shixiong;Cao Zehui;Zhang Qiliang;Liu Debin(Department of Cardiac Surgery,the Second Hospital of Lanzhou University,Lanzhou 730000,China;Department of Cardiac Surgery,Hainan Provincial People's Hospital,Haikou 570311,China)

机构地区：[1]兰州大学第二医院心外科,兰州730000 [2]海南省人民医院心外科,海口570311

出　　处：《中华胸心血管外科杂志》2023年第7期428-435,共8页Chinese Journal of Thoracic and Cardiovascular Surgery

基　　金：海南省临床医学中心建设项目(46000021T00000000668);甘肃省中青年科技基金(21JR1RA164);甘肃省高等学校创新基金项目(2020B-037);萃英学子科研培育计划(CYXZ2019-26)。

摘　　要：随着微创心脏外科(minimally invasive cardiac surgery,MICS)不断深入研究,儿童微创心脏手术在这个时期也得到发展,但相较成人仍有一定差距。由于儿童体型差异大,手术耐受性较低,儿童微创心脏外科治疗在复杂心脏疾病上仍存在短板。本文对常用的几种微创技术(1)小切口心脏外科手术;(2)胸腔镜和机器人辅助心脏外科手术;(3)微创体外循环(MiECC)与避免体外循环的心脏外科手术;(4)杂交手术以及加速心脏康复外科(ERACS)在儿童心脏外科手术中的应用及研究进展进行综述。With the continuous in-depth study of minimally invasive cardiac surgery(MICS),minimally invasive cardiac surgery in children has also been developed in this period,but there is still a certain gap compared with adults.Because of the large difference in body size and the low tolerance of surgery in children,minimally invasive cardiac surgery in children still has a short board on complex cardiac diseases.This article reviews several commonly used minimally invasive techniques:(1)small incision cardiac surgery;(2)thoracoscopic and robot-assisted cardiac surgery;(3)minimally invasive cardiopulmonary bypass(MiECC)and cardiac surgery to avoid cardiopulmonary bypass;(4)hybrid surgery and enhanced cardiac rehabilitation surgery(ERACS)in pediatric cardiac surgery and their application and research progress.

关 键 词：心脏外科手术 微创心脏外科 微创心脏手术 杂交手术 康复外科 小切口 胸腔镜 微创技术 

分 类 号：R726.5[医药卫生—儿科]