Abstract: 【Abstract】〓Objective〓To study clinical application of video-assisted coronary artery bypass. Methods〓During September 2005 to July 2013, left internal mammary artery was harvested and video-assisted coronary bypass was performed in 9 cases (male 5 and female 4) with coronary disease. The anastomoses of left internal mammary artery to left anterior descending was performed without cardiopulmonary bypass in 8 cases..Atrial septal defect repair and the anastomoses of right internal mammary to right coronary artery were performed with cardiopulmonary bypass in 1 case. Results〓The whole surgical procedure of video-assisted coronary artery bypass were completed successfully. The time of internal mammary artery harvesting was 31-47 min (39.3±5.9 min). The time of the anastomoses of internal mammary to coronary artery was 6-7 min (5.2±1.4 min). The time of staying in ICU was 2-4 days. All cases were discharged 9-12 days. Conclusion The short-term effect of harvesting internal mammary artery and video-assisted coronary artery is satisfactory.

Key words: Thoracoscopy, Coronary artery bypass grafting

摘要： 【摘要】〓目的〓研究全胸腔镜下冠状动脉旁路移植术临床应用体会。方法〓2005年9月至2013年7月,冠心病患者共9例,男性5例,女性4例。均在电视胸腔镜下游离乳内动脉,行胸腔镜下冠状动脉旁路移植术。其中8例行非体外循环下左乳内动脉与前降支吻合,1例在体外循环下行房间隔缺损修补术,同期行右乳内动脉与右冠状动脉吻合。结果〓9例患者均手术成功。乳内动脉游离时间为31~47 min(39.3±5.9 min)。乳内动脉与冠状动脉的吻合时间为6~7 min(5.2±1.4 min)。术后ICU停留时间为2~4 d。术后9~12 d顺利出院。结论〓全胸腔镜下游离乳内动脉行冠状动脉旁路移植术近期效果良好。

关键词: 胸腔镜, 冠状动脉旁路移植术