Abstract

For many years up to date coronary artery bypass surgery has been performed via sternotomy as a gold standard approach. However recently there has been alternative approaches for coronary artery bypass grafting in minimal invasive ways to reduce complications associated with sternotomy such as sternal wound infections, impared pulmonary functions and cosmetic related problems. Most of these minimal invasive procedures have been associated with long learning curve, high costs and sophiscated instruments used during surgery. Minimal invasive coronary artery bypass grafting via left anterior mini-thoracotomy is equally effective as a gold standard sternotomy with the same principles of suturing techniques and provides a great comfort in many aspects as sternotomy. It is safe and does not require sophiscated tools which require long learning curve and high expanses. This type of surgery requires the use of novel strategies, especially in patients who hold the highest potential for postoperative morbidity. In this paper, we will highlight the strategies and pitfalls associated with minimally invasive total coronary revascularization via left anterior minithoracotomy.

摘要

多年来，最新的冠状动脉旁路手术已通过胸骨切开术作为金标准方法进行。然而，最近出现了以微创方式进行冠状动脉旁路移植术的替代方法，以减少与胸骨切开术相关的并发症，例如胸骨伤口感染、肺功能受损和美容相关问题。这些微创手术中的大多数都与学习曲线长、成本高和手术过程中使用的精密仪器有关。微创冠状动脉旁路移植术左前微型开胸手术与金标准胸骨切开术具有相同的缝合技术原理，同样有效，并且在许多方面提供了与胸骨切开术一样的舒适感。它是安全的，不需要需要长学习曲线和高扩展的复杂工具。这种类型的手术需要使用新的策略，尤其是在术后并发症发生率最高的患者中。在本文中，我们将重点介绍通过左前小切口微创全冠脉血运重建术相关的策略和缺陷。