Totally endoscopic robotic resection of left atrial myxoma with persistent left superior vena cava
Totally endoscopic robotic resection of left atrial myxoma with persistent left superior vena cava
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全内镜机器人切除伴持续性左上腔静脉的左心房粘液瘤
DOI：
10.1093/icvts/ivw059
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发表时间：
2016
影响因子：
--
通讯作者：
Hiroshi Ohtake and Go Watanabe
中科院分区：
文献类型：
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作者：
Tatsuya Tarui;Norihiko Ishikawa;Hiroshi Ohtake and Go Watanabe
一名68岁的心脏肿瘤患者入院接受机器人肿瘤切除术，使用达芬奇S手术系统。在术前检查时，发现他有持续性左上腔静脉。全麻单肺通气后建立体外循环，双侧颈内静脉及右股静脉静脉引流，右股动脉回动脉。机器人肿瘤切除通过右胸部的四个端口进行。手术过程中没有任何困难，肿瘤切除成功，切缘满意。他出院了，没有并发症。持续性左上腔静脉是非常罕见的，但如果术前诊断并制定适当的手术计划，机器人心脏手术是可以安全进行的。有了机器人手术，心脏肿瘤切除可以可行地进行，并具有美容效益。
A 68-year old man with a cardiac tumour was admitted for robotic tumour resection using the da Vinci S Surgical System. While undergoing preoperative examination, he was found to have a persistent left superior vena cava. After general anaesthesia and single-lung ventilation, cardiopulmonary bypass was established, with venous drainage through bilateral internal jugular and right femoral veins and arterial return through the right femoral artery. Robotic tumour resection was performed by four ports in the right chest. There were no difficulties during the operation, and successful tumour resection was achieved with satisfactory margins. He was discharged without complications. Persistent left superior vena cava is very rare, but if diagnosed preoperatively and an appropriate operative plan is made, robotic cardiac surgery can be performed safely. With robotic surgery, cardiac tumour resection can be feasibly performed, with cosmetic benefits.