Complete thoracoscopy versus traditional thoracotomy in treatment of congenital atrial septal defect

Abstract

Objective To explore the clinical effects of complete thoracoscopy versus traditional thoracotomy in the treatment of congenital atrial septal defect (ASD). Methods From January, 2014 to January, 2016, 32 ASD patients treated with traditional thoracotomy at our hospital were selected as a control group. From January, 2016 to January, 2018, 32 ASD patients treated with complete thoracoscopy were selected as an experimental group. The operation time, cardiac arrest time, aortic occlusion time, cardiopulmonary bypass time, blood product usage, chest drainage, and hospitalization were compared between the two groups. Quality of life (SF-36) and Hamilton anxiety scale (HAMA) were used to compare the quality of life and HAMA score between the two groups 3 months after operation. Results The operation time, cardiac arrest time, and aortic occlusion time, and the time of establishing cardiopulmonary bypass were shorter in the experimental group than in the control group (all P<0.05). The time of ICU treatment and the hospitalization time were shorter and the amount of blood product usage and the amount of chest cavity drainage were lower in the experimental group than in the control group (all P<0.05). The scores of SF-36 dimensions were higher and the HAMA score was lower in the experimental group than in the control group (all P<0.05). Conclusions Compared with traditional thoracotomy, total thoracoscopic surgery has the characteristics of less trauma, faster recovery, and less cardiac injury, and the long-term effect is better. Key words: Complete thoracoscopy; Thoracotomy; Congenital atrial septal defect