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Toshiya Ohtsuka
Shinichi Takamoto
Jun Nakajima
Takeshi Miyairi
Yutaka Kotsuka
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Ann Thorac Surg 2000;70:1429-1430
© 2000 The Society of Thoracic Surgeons

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Minimally invasive limited pericardiectomy: the hybrid approach

Toshiya Ohtsuka, MDa, Shinichi Takamoto, MDa, Jun Nakajima, MDa, Takeshi Miyairi, MDa, Yutaka Kotsuka, MDa

a Department of Cardiothoracic Surgery, University of Tokyo, Tokyo, Japan

Address reprint requests to Dr Ohtsuka, Department of Cardiothoracic Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan
e-mail: ohtsuka-tho{at}h.u-tokyo.ac.jp

This communication describes our clinical experience with the hybrid method, a video-assisted anterior minithoracotomy approach developed for minimally invasive limited pericardiectomy to treat 8 patients with massive pericardial effusion. The average operating time was 37.2 minutes, and there was no procedure-related morbidity or mortality. The mean follow-up period was 5.6 months, and there have been no recurrences. The hybrid approach can be accomplished irrespective of pleural adhesions. It eliminates the need for hemipulmonary collapse, making it more advantageous than the totally port-access thoracoscopic approach.




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