In-Hospital Outcomes of Right Minithoracotomy vs. Periareolar Access for Minimally Invasive Video-Assisted Mitral Valve Repair
AUTOR(ES)
Oliveira, Karen Amanda Soares de; Lousa, Ana Carolina dos Santos; Souza, Marcos Loiola de; Leão Neto, Tércio Campos; Oliveira, Jeffchandler Belém de; Sousa, Lucas Henrique Prado; Galvão Filho, Arlindo Rodrigues; Souza, Rodrigo Oliveira Rosa Ribeiro de
FONTE
Brazilian Journal of Cardiovascular Surgery
DATA DE PUBLICAÇÃO
2022
RESUMO
Abstract Introduction: In minimally invasive mitral valve repair, right minithoracotomy is the most widely performed method, providing a good view of the mitral valve. But regarding other techniques and although it offers limited visualization, the periareolar access is a less traumatic alternative. This study’s purpose is to compare in-hospital outcomes in patients who underwent video-assisted minimally invasive mitral valve repair via right minithoracotomy and periareolar access. Methods: This is a retrospective observational study including 37 patients (> 18 years old), without previous right thoracic surgery, who underwent their primary mitral valve repair, with indication for minimally invasive video-assisted approach (via right minithoracotomy or periareolar access), between January 2018 and August 2019. Patients’ medical records were consulted to collect demographics data, operative details, and in-hospital outcomes. Results: Twenty-one patients underwent right minithoracotomy, and 16 were operated via periareolar access. The mean patients’ age was 62±12 years in the right minithoracotomy group and 61±9 years in the periareolar access group (P=0.2). There are no significant differences in incision length, cardiopulmonary bypass time, aortic cross-clamping time, hematocrit, amount of chest tube drainage, and intensive care unit and in-hospital length of stay. Time to extubation presented significant differences between the right minithoracotomy and the periareolar access group (4.85 hours vs. 5.62 hours, respectively) (P=0.04). Conclusion: In this study, we found similar results in the two applied surgical techniques, except for the time to extubation.
Documentos Relacionados
- Minimally Invasive Video-assisted Mitral Valve Replacement with a Right Chest Small Incision in Patients Aged Over 65 Years
- Diagnostic video-assisted thoracoscopic procedures.
- Minithoracotomy vs. Conventional Mitral Valve Surgery for Rheumatic Mitral Valve Stenosis: a Single-Center Analysis of 128 Patients
- Video-assisted left inguinal lymphadenectomy for penile cancer
- Video-assisted ovariohysterectomy in domestic cats (Felis catus, Linnaeus, 1758) using two access portals