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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