Totally thoracoscopic surgical resection of left ventricular benign tumorCentral MessagePerspective
Objective: The study objective was to explore the feasibility and safety of totally endoscopic resection of a left ventricular tumor through small chest incisions without robotic assistance. Methods: Four patients with a left ventricular tumor (1 papillary fibroelastoma, 1 lipoma, and 2 myxomas) und...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | JTCVS Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666250723001797 |
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| author | Kai Xu, MMed Zengshan Ma, PhD, MD Bowen Li, MMed Zhenhua Wang, MMed Han Song, MMed Xiao Bai, MD Xiangbin Meng, MD Kai Liu, PhD, MD Xin Zhao, PhD, MD |
| author_facet | Kai Xu, MMed Zengshan Ma, PhD, MD Bowen Li, MMed Zhenhua Wang, MMed Han Song, MMed Xiao Bai, MD Xiangbin Meng, MD Kai Liu, PhD, MD Xin Zhao, PhD, MD |
| author_sort | Kai Xu, MMed |
| collection | DOAJ |
| description | Objective: The study objective was to explore the feasibility and safety of totally endoscopic resection of a left ventricular tumor through small chest incisions without robotic assistance. Methods: Four patients with a left ventricular tumor (1 papillary fibroelastoma, 1 lipoma, and 2 myxomas) underwent surgery with peripheral cardiopulmonary bypass. The mean age of patients was 58 ± 15 years. There were 3 female patients and 1 male patient. Through 3-port incisions in the right chest, pericardiotomy, bicaval cannulation, cardiac arrest, and atriotomy, left ventricular tumor resection was performed under thoracoscopy. Results: All patients had successful resections. The cardiopulmonary bypass and aortic crossclamp times were 110 ± 14 minutes and 58 ± 19 minutes, respectively. The length of stay in the intensive care unit was 38 ± 27 hours. There were no mortalities or complications in this cohort. Patients were discharged 7 days after the operation. Transthoracic echocardiography showed that the cardiac tumor was completely removed without any residue 3 months after surgery. Conclusions: Totally endoscopic left ventricular tumor resection without a robotically assisted surgical system is feasible and reproducible. This technique could minimize surgical trauma and achieves complete tumor resection. |
| format | Article |
| id | doaj-art-e28ee69371484867a97064a32be94cda |
| institution | Kabale University |
| issn | 2666-2507 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Techniques |
| spelling | doaj-art-e28ee69371484867a97064a32be94cda2025-08-20T03:38:26ZengElsevierJTCVS Techniques2666-25072023-08-012011612210.1016/j.xjtc.2023.04.018Totally thoracoscopic surgical resection of left ventricular benign tumorCentral MessagePerspectiveKai Xu, MMed0Zengshan Ma, PhD, MD1Bowen Li, MMed2Zhenhua Wang, MMed3Han Song, MMed4Xiao Bai, MD5Xiangbin Meng, MD6Kai Liu, PhD, MD7Xin Zhao, PhD, MD8Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China; Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, ChinaDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China; Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, ChinaDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China; Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, ChinaDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China; Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, ChinaDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China; Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, ChinaDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China; Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, ChinaDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China; Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, ChinaDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China; Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, ChinaDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China; Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, China; Address for reprints: Xin Zhao, PhD, MD, Department of Cardiovascular Surgery, Qilu Hospital, Shandong University, Jinan, Shandong, 250012, China.Objective: The study objective was to explore the feasibility and safety of totally endoscopic resection of a left ventricular tumor through small chest incisions without robotic assistance. Methods: Four patients with a left ventricular tumor (1 papillary fibroelastoma, 1 lipoma, and 2 myxomas) underwent surgery with peripheral cardiopulmonary bypass. The mean age of patients was 58 ± 15 years. There were 3 female patients and 1 male patient. Through 3-port incisions in the right chest, pericardiotomy, bicaval cannulation, cardiac arrest, and atriotomy, left ventricular tumor resection was performed under thoracoscopy. Results: All patients had successful resections. The cardiopulmonary bypass and aortic crossclamp times were 110 ± 14 minutes and 58 ± 19 minutes, respectively. The length of stay in the intensive care unit was 38 ± 27 hours. There were no mortalities or complications in this cohort. Patients were discharged 7 days after the operation. Transthoracic echocardiography showed that the cardiac tumor was completely removed without any residue 3 months after surgery. Conclusions: Totally endoscopic left ventricular tumor resection without a robotically assisted surgical system is feasible and reproducible. This technique could minimize surgical trauma and achieves complete tumor resection.http://www.sciencedirect.com/science/article/pii/S2666250723001797left ventricular tumorminimally invasive cardiac surgerythoracoscopy |
| spellingShingle | Kai Xu, MMed Zengshan Ma, PhD, MD Bowen Li, MMed Zhenhua Wang, MMed Han Song, MMed Xiao Bai, MD Xiangbin Meng, MD Kai Liu, PhD, MD Xin Zhao, PhD, MD Totally thoracoscopic surgical resection of left ventricular benign tumorCentral MessagePerspective JTCVS Techniques left ventricular tumor minimally invasive cardiac surgery thoracoscopy |
| title | Totally thoracoscopic surgical resection of left ventricular benign tumorCentral MessagePerspective |
| title_full | Totally thoracoscopic surgical resection of left ventricular benign tumorCentral MessagePerspective |
| title_fullStr | Totally thoracoscopic surgical resection of left ventricular benign tumorCentral MessagePerspective |
| title_full_unstemmed | Totally thoracoscopic surgical resection of left ventricular benign tumorCentral MessagePerspective |
| title_short | Totally thoracoscopic surgical resection of left ventricular benign tumorCentral MessagePerspective |
| title_sort | totally thoracoscopic surgical resection of left ventricular benign tumorcentral messageperspective |
| topic | left ventricular tumor minimally invasive cardiac surgery thoracoscopy |
| url | http://www.sciencedirect.com/science/article/pii/S2666250723001797 |
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