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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
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Single-Center Experience with Minimally Invasive Mitral Operations through Right Minithoracotomy
Marek Pojar1, Jan Vojacek1, Mikita Karalko1
1Department of Cardiac Surgery, Charles University, Faculty of Medicine and University Hospital in Hradec Kralove, Hradec Kralove, Czech Republic.
Summary
Minimally invasive mitral valve surgery (MIMVS) via right minithoracotomy is a safe and effective alternative to conventional surgery. This approach offers low mortality and morbidity, with excellent long-term survival rates.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Minimally Invasive Procedures
Background:
- Minimally invasive mitral valve surgery (MIMVS) is increasingly utilized.
- Right minithoracotomy offers a less invasive surgical access.
- Evaluating single-institution outcomes is crucial for understanding MIMVS feasibility.
Purpose of the Study:
- To assess the safety and efficacy of MIMVS through right minithoracotomy.
- To report outcomes of mitral valve operations using this minimally invasive approach.
- To evaluate long-term survival and reoperation rates after MIMVS.
Main Methods:
- Retrospective analysis of a prospective database.
- Inclusion of patients who underwent MIMVS between January 2012 and December 2016.
- Data collection included clinical follow-up, operative times, and postoperative outcomes.
Main Results:
- 151 patients underwent MIMVS; mean age 63.4 years, 55% female.
- Low 30-day mortality (0.7%) and re-exploration rates (4.0%).
- 5-year survival was 94.1%, with 94.6% freedom from reoperation.
Conclusions:
- MIMVS through right minithoracotomy is a feasible and safe surgical option.
- This approach demonstrates low mortality and morbidity.
- Mitral valve surgery via small thoracotomy is a viable alternative to traditional sternotomy.
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