{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:41:53Z","timestamp":1787240513128,"version":"build-2736575974"},"reference-count":12,"publisher":"IMR Press","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HSF"],"abstract":"<p>The purpose of this study is to compare early clinical outcomes of surgical repair for isolated atrial septal defect (ASD) with a totally thoracoscopic approach without robotic assistance versus a conventional open procedure.<\/p><p>Between September 2010 and June 2012, 254 consecutive patients with isolated ASD underwent totally thoracoscopic surgery without robotic assistance in seven institutions participating in the nationwide multi-centered registry in China. During the same period, these patients were matched using propensity score methodology with 254 patients who had accepted conventional open surgery through a median sternotomy. The early in-hospital results between the two groups were analyzed and compared.<\/p><p>The patient age was 26.8 \ufffd 14.0 years and weight was 52.9 \ufffd 16.9 kg in the totally thoracoscopic group. The totally thoracoscopic surgery required longer aortic clamp time (32.1 \ufffd 17.3 minutes versus 28.3 \ufffd 16.7 minutes, <i>P<\/i> = .01); shorter length of stay in the intensive care unit (25.3 \ufffd 12.2 hours versus 34.8 \ufffd 24.4 hours, <i>P<\/i> = .001); shorter length of stay in hospital (6.5 \ufffd 6.3 days versus 7.9 \ufffd 6.4 days, <i>P<\/i> = .008); and shorter mechanical ventilation time (8.3 \ufffd 5.0 hours versus 11.4 \ufffd 14.8 hours, <i>P<\/i> = .04). The cardiopulmonary bypass (CPB) time (62.7 \ufffd 29.3 minutes versus 61.5 \ufffd 28.0 minutes, <i>P<\/i> = .64) showed no significant difference between the two groups. The totally thoracoscopic group had significantly less postoperative chest tube drainage (322.1 \ufffd 213.7 mL versus 462.8 \ufffd 398.4 mL, <i>P<\/i> = .001). The intraoperative (35.4% versus 38.6%, <i>P<\/i> = .46) and postoperative blood products usage (20.9% versus 21.3%, <i>P<\/i> = .91) showed no significant difference between the two groups.<\/p><p>There also was no significant difference in mortality and major in-hospital complications between the two groups. The early outcomes for treatment of isolated ASD were similar between the totally thoracoscopic group conventional open operation performed through median sternotomy, despite a longer aortic clamp time in the totally thoracoscopic group.<\/p><\/jats:p>","DOI":"10.1532\/hsf98.2014382","type":"journal-article","created":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T21:01:00Z","timestamp":1409605260000},"page":"227","source":"Crossref","is-referenced-by-count":6,"title":["Totally Thoracoscopic Versus Open Surgery for Closure of Atrial Septal Defect: Propensity-Score Matched Comparison"],"prefix":"10.31083","volume":"17","author":[{"given":"Zhe","family":"Zheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Kun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Xuezeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Yunge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma","family":"Zengshan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo","family":"Huiming","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liu","family":"Liming","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiao","family":"Liang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Zhiwei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun","family":"Hansong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hu","family":"Shengshou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","published-online":{"date-parts":[[2014,9,1]]},"reference":[{"issue":"1","key":"1","article-title":"Totally endoscopic atrial septal defect repair with robotic assistance","volume":"108","author":"M. 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Murphy","year":"1990","journal-title":"N Engl J Med"},{"issue":"1","key":"11","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.jtcvs.2009.07.022","article-title":"Port-access minimally invasive surgery for atrial septal defects: a 10-year single-center experience in 166 patients","volume":"139","author":"N. Vistarini","year":"2010","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"12","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.athoracsur.2011.03.033","article-title":"Totally thoracoscopic surgical closure of atrial septal defect in small children","volume":"92","author":"F. Wang","year":"2011","journal-title":"Ann Thorac Surg"}],"container-title":["The Heart Surgery Forum"],"original-title":[],"link":[{"URL":"http:\/\/journal.hsforum.com\/index.php\/HSF\/article\/viewFile\/878\/883","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T10:13:13Z","timestamp":1766398393000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/HSF\/17\/4\/10.1532\/HSF98.2014382"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9,1]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2014,8,1]]}},"URL":"https:\/\/doi.org\/10.1532\/hsf98.2014382","relation":{},"ISSN":["1522-6662","1098-3511"],"issn-type":[{"value":"1522-6662","type":"electronic"},{"value":"1098-3511","type":"print"}],"subject":[],"published":{"date-parts":[[2014,9,1]]}}}