partial pericardectomy

Intractable pericardial effusion often requires partial pericardial resection, relieves cardiac tamponade symptoms, and performs a clear diagnosis of pericardial biopsy, which has become one of the main indications for thoracoscopic surgery. Partial resection of the pericardium can be done through the left chest, and some people advocate the right chest approach, because the right chest space is larger than the left side, which is convenient for endoscopic instrument operation. Treatment of diseases: pericardial effusion Indication Intractable pericardial effusion often requires partial pericardial resection, relieves cardiac tamponade symptoms, and performs a pericardial biopsy to confirm the diagnosis. Surgical procedure 1. General anesthesia, after the lung atrophy of the operation side, insert the cannula and thoracoscope through the 7th intercostal incision of the midline of the sacral line, perform pleural, lung and mediastinum exploration, and select the other 2 incisions, generally in the posterior line of the iliac crest. And the sixth intercostal space, fully exposed the surgical field, inserted into the endoscopic puncture needle through a cannula, and pierced the pericardial suction fluid under the thoracoscopy. 2. Insert the endoscopic grasping forceps, lift the pericardium, insert the endoscopic scissors through another cannula, cut a small hole in front of the sacral nerve, release the pericardial effusion, and remove the pericardium of 5cm×3cm. 3, use the grasping forceps to lift the edge of the heart, electrocoagulation or argon to stop bleeding. 4, if necessary, you can also cut the happy part of the sacral nerve and remove it. Place the chest tube through the low-sleeve incision and place it near the pericardium under thoracoscopy. complication Pericardial hemorrhage, arrhythmia and other complications.