Author: Liu Junwei

Affiliation: Tongji Medical College, Huazhong University of Science and Technology

Introduction to Minimally Invasive Hybrid Surgery

Liu Junwei introduces a cutting-edge approach to treating acute Stanford Type A aortic dissection through an upper sternotomy minimally invasive hybrid procedure, highlighting its minimal invasiveness and the rapid recovery it facilitates.

Advantages of Minimally Invasive Technique

• Reduced Trauma: Traditional full sternotomy offers excellent surgical access but results in significant trauma and slow recovery. Liu’s technique, involving a smaller 8-10 cm incision in the upper sternum, significantly reduces trauma.

• Enhanced Recovery: The smaller incision size helps in reducing the hospital stay and improving the overall recovery speed of patients.

Hybrid Surgery Techniques

• Integration of Techniques: This hybrid approach combines the benefits of open surgery with endovascular techniques. It involves establishing extracorporeal circulation via femoral and brachiocephalic artery cannulation, performing coronary artery protection, and executing full arch replacement along with TEVAR (Thoracic Endovascular Aortic Repair).

• Improved Safety and Efficacy: By integrating these methods, the surgery not only becomes less invasive but also increases in safety and effectiveness.

Surgical Outcomes and Patient Recovery

• Reduction in Complications: The approach notably decreases intraoperative bleeding, reduces the duration of cardiopulmonary bypass and deep hypothermic circulatory arrest, and effectively minimizes postoperative complications such as stroke and neurological damage.

• Successful Case Studies: Liu shares several successful cases, illustrating the quick recovery process of patients post-surgery.

Management of Postoperative Complications

• Monitoring and Management: Despite the clinical benefits, meticulous intraoperative management and rigorous postoperative care are crucial to minimize risks such as infection and pulmonary complications.

Conclusion and Future Prospects

Liu Junwei concludes that the upper sternotomy minimally invasive hybrid surgery presents a significant advancement in the treatment of acute Stanford Type A aortic dissection, offering substantial minimally invasive benefits. He anticipates its broader application in cardiovascular surgery.

Contact Us

For further information or inquiries about the techniques discussed or the Tian Fu Symposium, please leave a comment below or email us at: endovascluar@simtomax.cn.

For more details, visit our official website: www.vascularknight.com.

Follow Us on Social Media:

• Facebook: Vasco Knight

• Instagram: @knight_vasco

Thank you for your attention. Let’s collaborate for better health!