Thoracoscopy Assisted Mini Incision And Conventional Median Sternotomy Incision Line Repair Of Atrial Septal Defect In A Clinical Comparative Study

Objective: To compare the Television Thoracoscope assisted small incision andconventional median sternotomy incision in atrial septal defect repair effect.Methods: in our hospital from201105-201204month period25patients withatrial septal defect patients, patients under operation choice were divided into twogroups, VATS assisted small incision group (VATS) in10cases, conventional mediansternotomy incision group (conventional group) in15cases, were compared betweenthe two groups of patients in vitro cycle time (CPB)(H), ICU intensive care time(H), postoperative ventilator time (H)(d), length of hospital stay, postoperativedrainage volume (ML), incision length (CM) and healing status indicator.Results: the two groups of patients showed no death. Video assisted thoracicsurgery (VATS) and conventional median sternotomy incision group (conventionalgroup) index contrast: cardiopulmonary bypass time respectively ((68±4.7min) vs(51±3.8min)), group two of the analysis of variance, P>0.05; intensive care timerespectively ((14.1±2.3h) vs (26±3.2h)), two groups of the analysis of variance, P <0.05; postoperative ventilator time respectively ((4±1.5) vs (7±1.8h), two groups ofthe analysis of variance, P <0.05; postoperative hospitalization days respectively ((6±1.2D) vs (7.6±2.2d)), two groups of the analysis of variance, P <0.05;postoperative drainage volume respectively ((202.3±12.6ml) vs (508±+35.5ml)),two groups of the analysis of variance,，P <0.05; incision length respectively ((4.5±0.6cm) vs (14.9±1.7cm)), two groups of the analysis of variance, P <0.05; mediansternotomy in1patients after partial incision wound liquefaction, delayed healing.Thoracoscope assisted small incision group after operation there was no air embolism,pneumothorax and other related complications. In two groups of patients before discharge repeated ultrasound heartbeat graph are no residual shunt atrial septum.Conclusion：VATS assisted small incision in treatment of atrial septal defect, awound is smaller, postoperative pain alleviation, less bleeding; small incision, morebeautiful, quick recovery, reduce patient and family psychological burden, is worthpopularizing.