Impact of minimally invasive valvular heart surgery: A case-control study

被引：87

作者：

Grossi, EA ^{[1
]}

Galloway, AC ^{[1
]}

Ribakove, GH ^{[1
]}

Zakow, PK ^{[1
]}

Derivaux, CC ^{[1
]}

Baumann, G ^{[1
]}

Schwesinger, D ^{[1
]}

Colvin, SB ^{[1
]}

机构：

[1] NYU, Med Ctr, Sch Med, Dept Surg,Div Cardiothorac Surg, New York, NY 10016 USA

来源：

ANNALS OF THORACIC SURGERY | 2001年 / 71卷 / 03期

关键词：

D O I：

10.1016/S0003-4975(00)02070-1

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background. The port access (PA) approach for valvular heart surgery is widely used, but few studies evaluating outcomes compared with the sternotomy approach have been performed. Methods. One hundred nine consecutive patients undergoing PA-isolated valve surgery were compared with 88 matched patients who underwent sternotomy-isolated valve surgery before the institution of the PA program. Case matching was performed by age, surgeon, congestive heart failure, position of operated valve, and history of previous surgery. Results. Analysis revealed that PA was associated with similar hospital mortality (p = 0.62), longer bypass times (p < 0.001), shorter length of stay (p = 0.02), fewer transfusions (p = 0.02), and fewer septic complications (p = 0.05). Conclusions. The PA approach for isolated valvular heart surgery provided patients with significantly improved clinical outcomes in their immediate perioperative course. Further studies are required to measure the impact of the PA approach on the patients' recovery after hospitalization. (C) 2001 by The Society of Thoracic Surgeons.

引用

页码：807 / 810

页数：4

共 16 条

[1] Techniques and results of direct-access minimally invasive mitral valve surgery: A paradigm for the future [J].

Aklog, L ;

Adams, DH ;

Couper, GS ;

Gobezie, R ;

Sears, S ;

Cohn, LH .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1998, 116 (05) :705-714

[2]

Chitwood W R Jr, 1999, Semin Thorac Cardiovasc Surg, V11, P194

[3] Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair [J].

Cohn, LH ;

Adams, DH ;

Couper, GS ;

Bichell, DP ;

Rosborough, DM ;

Sears, SP ;

Aranki, SF .

ANNALS OF SURGERY, 1997, 226 (04) :421-426

[4] Minimally invasive valve operations [J].

Cosgrove, DM ;

Sabik, JF ;

Navia, JL .

ANNALS OF THORACIC SURGERY, 1998, 65 (06) :1535-1538

[5]

Fann J I, 1997, Semin Thorac Cardiovasc Surg, V9, P320

[6] First report of the Port Access International Registry [J].

Galloway, AC ;

Shemin, RJ ;

Glower, DD ;

Boyer, JH ;

Groh, MA ;

Kuntz, RE ;

Burdon, TA ;

Ribakove, GH ;

Reitz, BA ;

Colvin, SB .

ANNALS OF THORACIC SURGERY, 1999, 67 (01) :51-56

[7] Comparison of post-operative pain, stress response, and quality of life in port access vs. standard sternotomy coronary bypass patients [J].

Grossi, EA ;

Zakow, PK ;

Ribakove, G ;

Kallenbach, K ;

Ursomanno, P ;

Gradek, CE ;

Baumann, FG ;

Colvin, SB ;

Galloway, AC .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1999, 16 :S39-S42

[8] Facile minimally invasive cardiac surgery via ministernotomy [J].

Gundry, SR ;

Shattuck, OH ;

Razzouk, AJ ;

del Rio, MJ ;

Sardari, FF ;

Bailey, LL .

ANNALS OF THORACIC SURGERY, 1998, 65 (04) :1100-1104

[9] Minimally invasive port-access mitral valve surgery [J].

Mohr, FW ;

Falk, V ;

Diegeler, A ;

Walther, T ;

van Son, JAM ;

Autschbach, R .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1998, 115 (03) :567-574

[10]

*NY STAT DEP HLTH, 1997, CARD SURG REP AD INS

← 1 2 →