Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Right Anterolateral Thoracotomy for Cardiac Surgery in the Adult

성인에서의 우전외측 개흉술을 이용한 개심술

  • Lee, Sang-Gwon (Department of Thoracic & cardiovascular Surgery, Asan Medical Center, Ulsan University) ;
  • Kim, Sang-Pil (Department of Thoracic & cardiovascular Surgery, Asan Medical Center, Ulsan University) ;
  • Song, Hyun (Department of Thoracic & cardiovascular Surgery, Asan Medical Center, Ulsan University) ;
  • Kim, Jong-Ook (Department of Thoracic & cardiovascular Surgery, Kangnung Medical Center) ;
  • Song, Meung-Gun (Department of Thoracic & cardiovascular Surgery, Asan Medical Center, Ulsan University) ;
  • Lee, Jae-Won (Department of Thoracic & cardiovascular Surgery, Asan Medical Center, Ulsan University)
  • 이상권 (서울중앙병원 흉부외과, 울산대학교) ;
  • 김상필 (서울중앙병원 흉부외과, 울산대학교) ;
  • 송현 (서울중앙병원 흉부외과, 울산대학교) ;
  • 김종욱 (강릉병원 흉부외과) ;
  • 송명근 (서울중앙병원 흉부외과, 울산대학교) ;
  • 이재원 (서울중앙병원 흉부외과, 울산대학교)
  • Published : 1999.08.01
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Abstract

Background: To secure a rapid and safe approach which is at the same time cosmetically appealing, we employed the right anterolateral thoracotomy incision for repair of atrial septal defects and valvular heart diseases in the adult. Material and method: Between October 1989 and June 1998, 44 adult patients underwent open heart surgery through right anterolateral thoracotomy at our institution. Operative time, cardiopulmonary bypass time, aortic cross clamp time, blood loss until chest tube removal, length of ICU stay, days to discharge, and survival were compared with those that received cardiac surgery via conventional sternotomy. Result: No significant differences were observed between the two groups. There was no death and no additional morbidity directly related to this approach. Cosmetically satisfying results were obtained with safety using the right anterolateral thoracotomy approach. Conclusion: Our data show that the right anterolateral thoracotomy approach is a safe alternative to conventional median sternotomy as it offers excellent exposure and aesthetically more acceptable wounds while not adding on to the operative risks.

배경: 개심술에서 신속하고 안전한 접근과 미관상 나은 상처를 얻기 위해, 우전외측개흉으로 성인의 심방중 격결손증과 판막질환의 수술을 시행하였다. 방법: 본원에서는 1989년부터 1998년 6월까지 우전외측 개흉술 을 통하여 44예의 개심술을 시행하였고, 수술시간, 심폐우회시간, 대동맥 차단시간, 술 후 출혈량, 중환자실 재실기간, 술 후 퇴원일 등을 정중흉골절개로 수술한 경우와 비교하였다. 결과: 두 군간의 유의한 차이는 없 었고, 전예에서 사망이나 이 접근법과 관련된 이환의 증감은 찾을 수 없었다. 우전외측 개흉술로 안전하고 만족스러운 미용상의 결과를 얻었다. 결론: 우전외측개흉술은 좋은 수술시야를 제공하고 미용상 우수하고 수술의 위험을 증가시키지 않는 부분적으로 정중흉골절개를 대신할 수 있는 안전한 접근법이다.

Keywords

References

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