1. Minimally invasive technique facilitates early extubation after cardiac surgery: a single-center retrospective study
- Author
-
Siyu Tang, Yan Qu, Huan Jiang, Hanhui Cai, Run Zhang, Jun Hong, Zihao Zheng, Xianghong Yang, and Jingquan Liu
- Subjects
Thoracoscopy ,Conventional median sternotomy ,Heart valve surgery ,Mechanical ventilation ,Extubation ,Intensive care ,Anesthesiology ,RD78.3-87.3 - Abstract
Abstract Background Postoperative time to extubation plays a role in prognosis after heart valve surgery; however, its exact impact has not been clarified. This study compared the postoperative outcomes of minimally invasive surgery and conventional sternotomy, focusing on early extubation and factors influencing prolonged mechanical ventilation. Methods Data from 744 patients who underwent heart valve surgery at the Zhejiang Provincial People’s Hospital between August 2019 and June 2022 were retrospectively analyzed. The outcomes in patients who underwent conventional median sternotomy (MS) and minimally invasive (MI) video-assisted thoracoscopic surgery were compared using inverse probability of treatment weighting (IPTW) and Kaplan–Meier curves. Clinical data, including surgical data, postoperative cardiac function, postoperative complications, and intensive care monitoring data, were analyzed. Results After propensity score matching and IPTW, 196 cases of conventional MS were compared with 196 cases of MI video-assisted thoracoscopic surgery. Compared to patients in the conventional MS group, those in the MI video-assisted thoracoscopic surgery group in the matched cohort had a higher early postoperative extubation rate (P
- Published
- 2024
- Full Text
- View/download PDF