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Titolo:
Ministernotomy versus complete sternotomy for coronary bypass operations: No difference in postoperative pulmonary function
Autore:
Bauer, M; Pasic, M; Ewert, R; Hetzer, R;
Indirizzi:
Deutsch Herzzentrum Berlin, Klin Herz Thorax & Gefasschirurg, D-13353 Berlin, Germany Deutsch Herzzentrum Berlin Berlin Germany D-13353 -13353 Berlin, Germany
Titolo Testata:
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
fascicolo: 4, volume: 121, anno: 2001,
pagine: 702 - 707
SICI:
0022-5223(200104)121:4<702:MVCSFC>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
AORTIC-VALVE REPLACEMENT; MEDIAN STERNOTOMY; INTERNAL MAMMARY; SURGERY; LUNG;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Pasic, M Deutsch Herzzentrum Berlin, Klin Herz Thorax & Gefasschirurg, Augustenburger Pl 1, D-13353 Berlin, Germany Deutsch Herzzentrum Berlin Augustenburger Pl 1 Berlin Germany D-13353
Citazione:
M. Bauer et al., "Ministernotomy versus complete sternotomy for coronary bypass operations: No difference in postoperative pulmonary function", J THOR SURG, 121(4), 2001, pp. 702-707

Abstract

Objectives: Less-invasive approaches in cardiac operations offer certain cosmetic advantages, but it is unclear whether there are additional positiveeffects with regard to the postoperative recovery of patients. The aim of this prospective and randomized study was to ascertain whether partial inferior midline sternotomy can improve pulmonary function, one of the best quantifiable parameters of postoperative recovery, after coronary artery bypass operations when compared with the standard full midline approach. Methods: One hundred patients scheduled for elective coronary artery bypass grafting were randomized either for a full median sternotomy (standard sternotomy group, n = 50) or for a partial inferior sternotomy (ministernotomy group, n = 50). The following pulmonary features were assessed: vital capacity, forced expiratory volume, percentage of forced expiratory volume from vital capacity, total lung capacity, residual volume, maximum inspiratorypressure, and maximum expiratory pressure. Tests were performed preoperatively and on the fourth and tenth postoperative days. Results: On the fourth postoperative day, both groups had a significant decrease in vital capacity (percentage of predicted values) when compared with preoperative values (preoperative vs fourth day: standard sternotomy group, 87.8% +/- 14.3% vs 42.1% +/- 10.2% [P < .0001]; ministernotomy group, 84.5% <plus/minus> 14.3% vs 41.5% +/- 11.8% [P < .0001]), with a significant tendency for recovery from the fourth to the tenth postoperative day (fourth vs tenth postoperative day: standard sternotomy group, 42.1% <plus/minus>10.2% vs 66.3% +/- 12.3% [P = .001]; ministernotomy group, 41.5% +/- 11.8%vs 61.3% +/- 13.1 % [P = .002]). There were no differences in any test results between the groups on either the fourth or the tenth postoperative day. Conclusion: A less-invasive approach for coronary artery bypass operationswith a partial inferior sternotomy does not improve early postoperative pulmonary function when compared with the conventional approach with a full sternotomy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 20:40:18