Kết quả sớm vá thông liên thất qua đường mổ ít xâm lấn tại Bệnh viện Sản Nhi Nghệ An

Minimally invasive cardiac surgery has emerged as a promising approach for treating simple congenital heart defects, gaining significant traction globally over the past decade due to its encouraging outcomes. However, the specific application of minimally invasive surgery via the right mid-axillary approach for pediatric congenital heart defects, particularly "ventricular septal defect" (VSD), remains under-explored in many centers, primarily due to lingering concerns regarding its feasibility and safety. This study addresses this gap by aiming to comprehensively evaluate the effectiveness and safety of this specialized "minimally invasive surgery" technique for VSD repair in children at Nghe An Obstetrics and Pediatrics Hospital. The findings are crucial for understanding the potential broader adoption of this less invasive surgical method in pediatric cardiac care.

Medical professionals, especially pediatric cardiologists, cardiac surgeons, and researchers interested in congenital heart defects and minimally invasive surgical techniques.

This retrospective study investigated the early outcomes of "minimally invasive surgical repair" of "ventricular septal defect" (VSD) in pediatric patients at Nghe An Obstetrics and Pediatrics Hospital, utilizing the right mid-axillary approach. Conducted from January 2023 to October 2024, the study included 38 children diagnosed with VSD who underwent this specialized surgical technique. The patient cohort had an average weight of 11.45 ± 1.36 kg and an average age of 33.45 ± 7.36 months, with an average defect size of 7.14 ± 0.51 mm. Notably, 36.8% of patients also presented with patent ductus arteriosus. Surgical data showed an average operating time of 219.1 minutes, with an impressively small average skin incision length of 5.03 ± 0.17 cm. Crucially, the study reported no mortality or need for conversion to alternative surgical approaches. While three patients initially exhibited minor residual shunting, subsequent follow-up examinations confirmed the absence of any residual shunting and, significantly, no post-operative thoracic deformities. These findings highlight the safety and feasibility of "minimally invasive surgery" for VSD in children, aligning with encouraging results seen globally for similar simple congenital heart defects. The study suggests that despite the specific technical demands, this approach can achieve excellent early outcomes, including cosmetic benefits due to hidden scars. The authors emphasize the need for larger patient populations and extended follow-up periods in future research to conclusively affirm the long-term effectiveness and broad applicability of this promising surgical method. This approach offers significant value for enhancing pediatric cardiac care by reducing invasiveness and improving cosmetic results.