Purpose of Review

The purpose of this review is to discuss the evolving techniques and approaches for pericardiectomy, with a focus on the use of cardiopulmonary bypass (CPB) and the extent of radical pericardial resection. The review aims to highlight the benefits and considerations associated with these modifications in radical pericardiectomy.

Recent Findings

Recent studies have demonstrated that the use of CPB during pericardiectomy does not increase procedural risk or negatively impact survival. In fact, it has been shown to contribute to a more radical resection and improve postoperative outcomes, which is associated with less recurrence and better survival.

Summary

The review emphasizes the importance of radical pericardiectomy and the use of CPB in achieving successful outcomes. Radical resection of the pericardium, facilitated by CPB, helps minimize the risk of recurrent constrictions and the need for reinterventions. The findings highlight the correlation between postoperative outcomes and survival, further supporting the use of CPB.

中文翻译：

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心包疾病的手术方法：有什么新变化？

审查目的

本综述的目的是讨论心包切除术的不断发展的技术和方法，重点是体外循环（CPB）的使用和根治性心包切除的范围。该综述旨在强调与根治性心包切除术中的这些修改相关的益处和注意事项。

最近的发现

最近的研究表明，心包切除术中使用体外循环不会增加手术风险或对生存产生负面影响。事实上，它已被证明有助于更彻底的切除并改善术后结果，从而减少复发和提高生存率。

概括

该综述强调了根治性心包切除术和体外循环对于取得成功结果的重要性。在体外循环（CPB）的帮助下，对心包进行根治性切除有助于最大限度地降低复发性缩窄的风险和再次干预的需要。研究结果强调了术后结果与生存率之间的相关性，进一步支持了 CPB 的使用。