PDF(Pubmed)
Abstract：
BACKGROUND: Minimally invasive cardiac surgery (MICS) has garnered significant attention for its potential benefits, including decreased surgical trauma, accelerated recovery, and improved aesthetic outcomes. This case series aims to elucidate the technical aspects and assess the aesthetic, functional, and quality of life outcomes associated with the utilization of a periareolar incision approach in female patients undergoing cardiac surgery.
METHODS: The periareolar MICS technique, performed with or without high-definition (HD) 3D endoscopic visualization, limited rib-spreading, and a periareolar incision spanning the 3 to 9 o\'clock positions, was employed. We present a case series encompassing five female patients who underwent various cardiac procedures for different pathologies using this approach.
RESULTS: No intraoperative complications occurred, and all patients experienced uneventful postoperative recoveries. The periareolar approach resulted in well-healed incisions with minimal scaring, preserving breast contour and yielding satisfactory cosmetic outcomes. Patients reported negligible pain levels and expressed contentment with the scar appearance.
CONCLUSIONS: The periareolar incision technique in MICS represents an efficacious approach characterized by favorable aesthetic outcomes and enhanced patient experience. Further investigations are warranted to compare different MICS approaches with respect to pain management and their impact on quality-of-life domains.
METHODS: The periareolar MICS technique, performed with or without high-definition (HD) 3D endoscopic visualization, limited rib-spreading, and a periareolar incision spanning the 3 to 9 o\'clock positions, was employed. We present a case series encompassing five female patients who underwent various cardiac procedures for different pathologies using this approach.
RESULTS: No intraoperative complications occurred, and all patients experienced uneventful postoperative recoveries. The periareolar approach resulted in well-healed incisions with minimal scaring, preserving breast contour and yielding satisfactory cosmetic outcomes. Patients reported negligible pain levels and expressed contentment with the scar appearance.
CONCLUSIONS: The periareolar incision technique in MICS represents an efficacious approach characterized by favorable aesthetic outcomes and enhanced patient experience. Further investigations are warranted to compare different MICS approaches with respect to pain management and their impact on quality-of-life domains.
摘要：
背景：微创心脏手术（MICS）因其潜在的益处而引起了极大的关注，包括手术创伤减少,加速复苏,和改善美学效果。本案例系列旨在阐明技术方面并评估美学，功能，在接受心脏手术的女性患者中，与使用乳晕周围切口方法相关的生活质量结果。
方法：乳晕周围MICS技术，在有或没有高清（HD）3D内窥镜可视化的情况下进行，有限的肋骨扩张，和一个跨越3到9点钟位置的乳晕周围切口，被雇用。我们提供了一个病例系列，其中包括五名女性患者，她们使用这种方法对不同的病理进行了各种心脏手术。
结果：术中无并发症发生，所有患者术后恢复顺利。乳晕周围手术切口愈合良好，疤痕最小，保留乳房轮廓并产生令人满意的美容效果。患者报告的疼痛程度可忽略不计，并对疤痕外观表示满意。
结论：MICS中的乳晕周围切口技术代表了一种有效的方法，其特征是良好的美学结果和增强的患者体验。需要进一步的研究来比较不同的MICS方法在疼痛管理方面及其对生活质量领域的影响。
方法：乳晕周围MICS技术，在有或没有高清（HD）3D内窥镜可视化的情况下进行，有限的肋骨扩张，和一个跨越3到9点钟位置的乳晕周围切口，被雇用。我们提供了一个病例系列，其中包括五名女性患者，她们使用这种方法对不同的病理进行了各种心脏手术。
结果：术中无并发症发生，所有患者术后恢复顺利。乳晕周围手术切口愈合良好，疤痕最小，保留乳房轮廓并产生令人满意的美容效果。患者报告的疼痛程度可忽略不计，并对疤痕外观表示满意。
结论：MICS中的乳晕周围切口技术代表了一种有效的方法，其特征是良好的美学结果和增强的患者体验。需要进一步的研究来比较不同的MICS方法在疼痛管理方面及其对生活质量领域的影响。
