Comparison of the safety and efficacy between minimally invasive cardiac surgery and median sternotomy in a low-risk mixed Asian population in Singapore
Introduction: Minimally invasive cardiac surgery (MICS) has attracted increasing attention, with institutions increasingly adopting this approach over conventional median sternotomy (MS). This study aimed to describe the outcomes of minimally invasive cardiac surgery in our institution as the only c...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer – Medknow Publications
2022-11-01
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| Series: | Singapore Medical Journal |
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| Online Access: | https://journals.lww.com/10.11622/smedj.2021136 |
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| _version_ | 1823861045088747520 |
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| author | Zhi Xian Ong Duoduo Wu Haidong Luo Guohao Chang Faizus Sazzad Jai Ajitchandra Sule Peggy Hu Theo Kofidis |
| author_facet | Zhi Xian Ong Duoduo Wu Haidong Luo Guohao Chang Faizus Sazzad Jai Ajitchandra Sule Peggy Hu Theo Kofidis |
| author_sort | Zhi Xian Ong |
| collection | DOAJ |
| description | Introduction:
Minimally invasive cardiac surgery (MICS) has attracted increasing attention, with institutions increasingly adopting this approach over conventional median sternotomy (MS). This study aimed to describe the outcomes of minimally invasive cardiac surgery in our institution as the only centre with an established MICS programme in Singapore.
Methods:
Patients who had undergone cardiac procedures such as heart valve replacement or repair, coronary artery bypass grafting or atrial septal defect repair were included in the study. We analysed 4063 patients who had undergone MS and 390 patients who had undergone MICS between January 2009 and February 2020.
Results:
Over the years, the number of MICS procedures performed increased, along with an increase in MICS operations with two or more concomitant cardiac procedures and a decrease in postoperative length of stay. Compared with patients who underwent MS, those who underwent MICS had shorter length of postoperative hospital stay (P < 0.001). On multivariate analysis, patients who underwent MICS had lower rates of atrial fibrillation (P = 0.021), reoperation (P = 0.028) and prolonged ventilation (P < 0.001). However, the rates of other postoperative complications were comparable between patients who underwent MICS and those who underwent MS.
Conclusion:
In our institution, MICS is a safe, reproducible and efficacious technique that yields superior outcomes compared with conventional MS procedures, in some aspects. The results of this study provide further evidence and support towards adopting the minimally invasive approach to cardiac surgery in a carefully selected group of cardiac patients in Singapore. |
| format | Article |
| id | doaj-art-98ad00456efe458b9c771c885ff40067 |
| institution | Kabale University |
| issn | 0037-5675 2737-5935 |
| language | English |
| publishDate | 2022-11-01 |
| publisher | Wolters Kluwer – Medknow Publications |
| record_format | Article |
| series | Singapore Medical Journal |
| spelling | doaj-art-98ad00456efe458b9c771c885ff400672025-02-10T05:47:06ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352022-11-01631164164810.11622/smedj.2021136Comparison of the safety and efficacy between minimally invasive cardiac surgery and median sternotomy in a low-risk mixed Asian population in SingaporeZhi Xian OngDuoduo WuHaidong LuoGuohao ChangFaizus SazzadJai Ajitchandra SulePeggy HuTheo KofidisIntroduction: Minimally invasive cardiac surgery (MICS) has attracted increasing attention, with institutions increasingly adopting this approach over conventional median sternotomy (MS). This study aimed to describe the outcomes of minimally invasive cardiac surgery in our institution as the only centre with an established MICS programme in Singapore. Methods: Patients who had undergone cardiac procedures such as heart valve replacement or repair, coronary artery bypass grafting or atrial septal defect repair were included in the study. We analysed 4063 patients who had undergone MS and 390 patients who had undergone MICS between January 2009 and February 2020. Results: Over the years, the number of MICS procedures performed increased, along with an increase in MICS operations with two or more concomitant cardiac procedures and a decrease in postoperative length of stay. Compared with patients who underwent MS, those who underwent MICS had shorter length of postoperative hospital stay (P < 0.001). On multivariate analysis, patients who underwent MICS had lower rates of atrial fibrillation (P = 0.021), reoperation (P = 0.028) and prolonged ventilation (P < 0.001). However, the rates of other postoperative complications were comparable between patients who underwent MICS and those who underwent MS. Conclusion: In our institution, MICS is a safe, reproducible and efficacious technique that yields superior outcomes compared with conventional MS procedures, in some aspects. The results of this study provide further evidence and support towards adopting the minimally invasive approach to cardiac surgery in a carefully selected group of cardiac patients in Singapore.https://journals.lww.com/10.11622/smedj.2021136cardiac surgerydatabaseheart surgeryminimally invasive surgeryopen heart surgery |
| spellingShingle | Zhi Xian Ong Duoduo Wu Haidong Luo Guohao Chang Faizus Sazzad Jai Ajitchandra Sule Peggy Hu Theo Kofidis Comparison of the safety and efficacy between minimally invasive cardiac surgery and median sternotomy in a low-risk mixed Asian population in Singapore Singapore Medical Journal cardiac surgery database heart surgery minimally invasive surgery open heart surgery |
| title | Comparison of the safety and efficacy between minimally invasive cardiac surgery and median sternotomy in a low-risk mixed Asian population in Singapore |
| title_full | Comparison of the safety and efficacy between minimally invasive cardiac surgery and median sternotomy in a low-risk mixed Asian population in Singapore |
| title_fullStr | Comparison of the safety and efficacy between minimally invasive cardiac surgery and median sternotomy in a low-risk mixed Asian population in Singapore |
| title_full_unstemmed | Comparison of the safety and efficacy between minimally invasive cardiac surgery and median sternotomy in a low-risk mixed Asian population in Singapore |
| title_short | Comparison of the safety and efficacy between minimally invasive cardiac surgery and median sternotomy in a low-risk mixed Asian population in Singapore |
| title_sort | comparison of the safety and efficacy between minimally invasive cardiac surgery and median sternotomy in a low risk mixed asian population in singapore |
| topic | cardiac surgery database heart surgery minimally invasive surgery open heart surgery |
| url | https://journals.lww.com/10.11622/smedj.2021136 |
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