International Society For Minimally Invasive Cardiothoracic Surgery

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Totally Endoscopic Closure Of Ventricular Septal Defect Without Robotic Assistance: The Initial Experience In Vietnam
Do A. Tien, Le Ngoc Thanh, Nguyen Tran Thuy, Cong Huu Nguyen.
Cardiovascular center - Ehospital. Hanoi. Vietnam, Ha noi, Viet Nam.

Objectives: To evaluate the earlyresults of totally endoscopic closure of ventricular septal defect (VSD) in Vietnam.Methods:Totally endoscopic VSD closure was performed in 8 patiens (3 childrens and 5 adults). All patients were diagnosed with perimembranousVSD in which 5 patients had right ventricular outflow tract stenosis. We used 3 trocarts 5mm and 1 trocart 12mm in the right chest. Using peripheral cannulation for cardiopulmonary bypass, bicaval occlusion, Chitwood aortic clamp, right atriotomy and closing VSD by endoscopy without a robotically assisted surgical systemResults:No postoperative complications and deaths. Mean SD cardiopulmonary bypass time and Aortic clamping time were 70 23,6min and 50,6 25,3. The mean mechanical ventilation time was 1,2 0,3hour. Patients hospitalized for 5.8 days and could resume normal activities after 1 week. Conclusions:Totally endoscopic closure of ventricular septal defect without robotic assistance is feasible with safe, a small surgical scar and hight aesthetics.


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