Comparative Analysis of Thoracotomy and Sternotomy Approaches in Cardiac Reoperation
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 225-229, 2012.
Article
de En
| WPRIM
| ID: wpr-64036
Bibliothèque responsable:
WPRO
ABSTRACT
BACKGROUND: Reoperation of cardiac surgery via median sternotomy can be associated with significant complications. Thoracotomy is expected to reduce the risk of reoperation and to enhance the surgical outcomes. We retrospectively analyzed two operative approaches (thoracotomy vs. sternotomy) in cardiac reoperation. MATERIALS AND METHODS: From September 2007 to December 2010, 35 patients who required reoperation of the mitral valvular disease following previous median sternotomy were included. Average age of patients was 45.8+/-15.4 years (range, 14 to 76 years) and male-to-female was 23:12. Interval period between primary operation and reoperation was 135.8+/-105.6 months (range, 3.3 to 384.9 months). RESULTS: Comparative analysis was done dividing the patient group into two groups that are thoracotomy group (22 patients) and sternotomy group (13 patients). Thoracotomy group was significantly lower in operative time (415.2+/-90.3 vs. 497.5+/-148.0, p<0.05), bleeding control time (108.0+/-29.5 vs. 146.4+/-66.8, p<0.05) and chest tube drainage (287.5+/-211.5 mL vs. 557.3+/-365.5 mL, p<0.05) compared to sternotomy group. CONCLUSION: The thoracotomy approach is superior to sternotomy in some variables, and it is considered as a valid alternative to repeat median sternotomy in patients who underwent a previous median sternotomy.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Réintervention
/
Chirurgie thoracique
/
Thoracotomie
/
Drains thoraciques
/
Drainage
/
Études rétrospectives
/
Sternotomie
/
Durée opératoire
/
Hémorragie
Type d'étude:
Observational_studies
/
Risk_factors_studies
Limites du sujet:
Humans
langue:
En
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2012
Type:
Article