A novel 'two-window' technique to facilitate totally 3D-endoscopic mitral valve repair.
Surg Today
; 50(8): 941-943, 2020 Aug.
Article
em En
| MEDLINE
| ID: mdl-31784825
ABSTRACT
We describe our experience of a novel 'two-window' technique designed to assist in totally 3D-endoscopic mitral valve repair. A 10-mm trocar for a 3D-endoscope was inserted through the 4th intercostal space in the mid-axillary line. A main small incision (3 cm, 4th intercostal space) without rib spreading, and a second 1 cm incision (1-2 intercostal spaces above,) were made in the anterior axillary line. Soft tissue retractors were applied on both ports. A left atrial retractor, a left ventricular vent, and right-hand instruments were inserted through the main working port. A flexible aortic cross-clamp, an antegrade cardioplegia line, and left-hand instruments were inserted through the second port. Our two-window technique is safe, effective, and reproducible for totally endoscopic mitral valve repair.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Imageamento Tridimensional
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Cirurgia Assistida por Computador
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Endoscopia
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Anuloplastia da Valva Mitral
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Valva Mitral
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article