[1]高竣迪 谢进生.微创Bentall手术新进展[J].心血管病学进展,2023,(4):289.[doi:10.16806/j.cnki.issn.1004-3934.2023.04.001]
 GAO Jundi,XIE Jinsheng.New Development of Mini-Bentall Procedure[J].Advances in Cardiovascular Diseases,2023,(4):289.[doi:10.16806/j.cnki.issn.1004-3934.2023.04.001]
点击复制

微创Bentall手术新进展()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2023年4期
页码:
289
栏目:
综述
出版日期:
2023-04-25

文章信息/Info

Title:
New Development of Mini-Bentall Procedure
作者:
高竣迪 谢进生
迪 谢进生(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)
Author(s):
GAO Jundi XIE Jinsheng
(Department of Minimally Invasive Cardiac Surgery Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China)
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
Keywords:
Minimally invasive cardiac surgeryMini-Bentall procedureMini-sternotomyRight anterior mini-thoracotomy
DOI:
10.16806/j.cnki.issn.1004-3934.2023.04.001
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。
Abstract:
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, contradiction and clinical outcome

参考文献/References:


[1] Bentall H,de Bono A. A technique for complete replacement of the ascending aorta[J]. Thorax,1968,23(4):338-339.

[2] Nezafati P,Shomali A,Nezafati MH. A simple modified Bentall technique for surgical reconstruction of the aortic root - short and long term outcomes[J]. J Cardiothorac Surg,2015,10:132.

[3] Yan TD. Mini-Bentall procedure[J]. Ann Cardiothorac Surg,2015,4(2):182-190.

[4] Lamelas J,Chen PC,Loor G,et al. Successful use of sternal-sparing minimally invasive surgery for proximal?ascending aortic pathology[J]. Ann Thorac Surg,2018,106(3):742-748.

[5] Mikus E,Micari A,Calvi S,et al. Mini-Bentall:an interesting approach for selected patients[J]. Innovations (Phila),2017,12(1):41-45.

[6] Hillebrand J,Alshakaki M,Martens S,et al. Minimally invasive aortic root replacement with valved conduits through partial upper sternotomy[J]. Thorac Cardiovasc Surg,2018,66(4):295-300.

[7] Perrotta S,Lentini S. Ministernotomy approach for surgery of the aortic root and ascending aorta[J]. Interact Cardiovasc Thorac Surg,2009,9(5):849-858.

[8] Starom?yński J,Kowalewski M,Smoczyński R,et al. Minimally invasive approach to ascending aorta and aortic root surgery[J]. Interact Cardiovasc Thorac Surg,2021,32(1):163.

[9] Sicouri S,Shah VN,Orlov CP,et al. Assessment of pain,anxiety and depression,and quality of life after minimally invasive aortic surgery[J]. J Card Surg,2021,36(3):886-893.

[10] Harky A,Al-Adhami A,Chan JSK,et al. Minimally invasive versus conventional aortic root replacement - a systematic review and meta-analysis[J]. Heart Lung Circ,2019,28(12):1841-1851.

[11] Sun L,Zheng J,Chang Q,et al. Aortic root replacement by ministernotomy:technique and potential benefit[J]. Ann Thorac Surg,2000,70(6):1958-1961.

[12] Copeland JG 3rd,Rosado LJ,Snyder SL. New technique for improving hemostasis in aortic root replacement with composite graft[J]. Ann Thorac Surg,1993,55(4):1027-1029.

[13] Yan TD. Mini-Bentall procedure:the “french cuff” technique [J]. Ann Thorac Surg,2016,101(2):780-782.

[14] Shah VN,Kilcoyne MF,Buckley M,et al. The mini-Bentall approach:comparison with full sternotomy[J]. JTCVS Tech,2021,7:59-66.

[15] Deschka H,Erler S,Machner M,et al. Surgery of the ascending aorta,root remodelling and aortic arch surgery with circulatory arrest through partial upper sternotomy:results of 50 consecutive cases[J]. Eur J Cardiothorac Surg,2013,43(3):580-584.

[16] Kulacoglu UK,Kaya M. Ministernotomy in aortic root and arch surgery:early outcomes[J]. Braz J Cardiovasc Surg,2023,38(1):15-21.

[17] Abjigitova D,Panagopoulos G,Orlov O,et al. Current trends in aortic root surgery:the mini-bentall approach[J]. Innovations (Phila),2018,13(2):91-96.

[18] Tabata M,Khalpey Z,Aranki S F,et al. Minimal access surgery of ascending and proximal arch of the aorta:a 9-year experience[J]. Ann Thorac Surg,2007,84(1):67-72.

[19] Lentini S,Specchia L,Nicolardi S,et al. Surgery of the ascending aorta with or without combined procedures through an upper ministernotomy:outcomes of a series of more than 100 patients[J]. Ann Thorac Cardiovasc Surg,2016,22(1):44-48.

[20] Staromlynski J,Kowalewski M,Sarnowski W,et al. Midterm results of less invasive approach to ascending aorta and aortic root surgery[J]. J Thorac Dis,2020,12(11):6446-6457.

[21] Elghannam M,Aljabery Y,Naraghi H,et al. Minimally invasive aortic root surgery:Midterm results in a 2-year follow-up[J]. J Card Surg,2020,35(7):1484-1491.

[22] Chirichilli I,Irace FG,D’Aleo S,et al. Long-term follow-up of Bentall procedure using the Perimount bioprosthesis and the Valsalva graft[J]. Interact Cardiovasc Thorac Surg,2020,30(5):679-684.

[23] Shrestha M,Krueger H,Umminger J,et al. Minimally invasive valve sparing aortic root replacement (David procedure) is safe[J]. Ann Cardiothorac Surg,2015,4(2):148-153.

[24] di Eusanio M,Cefarelli M,Zingaro C,et al. Mini Bentall operation:technical considerations[J]. Indian J Thorac Cardiovasc Surg,2019,35(suppl 2):87-91.

[25] Svensson LG,Nadolny EM,Kimmel WA. Minimal access aortic surgery including re-operations[J]. Eur J Cardiothorac Surg,2001,19(1):30-33.

[26] Ji Q,Wang Y,Liu F,et al. Mini-invasive bentall procedure performed via a right anterior thoracotomy approach with a costochondral cartilage sparing[J]. Front Cardiovasc Med,2022,9:841472.

[27] Johnson CA Jr,Siordia JA,Wood KL,et al. Right mini-thoracotomy bentall procedure[J]. Innovations (Phila),2018,13(5):328-331.

[28] Johnson CA Jr,Wood KL,Melvin AL,et al. Video assisted right mini-thoracotomy for aortic root replacement[J]. J Vis Surg,2018,4:38.

[29] Johnson CA Jr,Siordia JA,Robinson DA,et al. Right mini-thoracotomy Bentall with traditional and automated suturing devices[J]. Multimed Man Cardiothorac Surg,2018 May 18;2018.doi: 10.1510/mmcts.2018.025.

[30] Wong JK,Melvin AL,Siordia JA,et al. Novel automated suturing technology for minimally invasive aortic valve replacements[J]. Ann Thorac Surg,2018,105(2):645-649.

[31] Jawarkar M,Manek P,Wadhawa V,et al. Mini-Bentall surgery:the right thoracotomy approach[J]. J Chest Surg,2021,54(6):554-557.

[32] Lapietra A,Santana O,Pineda AM,et al. Outcomes of aortic valve and concomitant ascending aorta replacement performed via a minimally invasive right thoracotomy approach[J]. Innovations (Phila),2014,9(5):339-342; discussion 342.

[33] Hughes GC,Zhao Y,Rankin JS,et al. Effects of institutional volumes on operative outcomes for aortic root replacement in North America[J]. J Thorac Cardiovasc Surg,2013,145(1):166-170.

[34] Murzi M,Cerillo AG,Gilmanov D,et al. Exploring the learning curve for minimally invasive sutureless aortic valve replacement[J]. J Thorac Cardiovasc Surg,2016,152(6):1537-1546.e1.

更新日期/Last Update: 2023-05-17