ISMICS 17 Annual Scientific Meeting, 7-10 June 2017, Rome Cavalieri, Rome, Italy
ISMICS 17 Annual Scientific Meeting, 7-10 June 2017, Rome Cavalieri, Rome, Italy
Meeting Home Final Program Past & Future Meetings

Back to 2017 Display Posters


Minimally Invasive Caridac Surgery In High Risk Patients
Yoshitsugu Nakamura, Yusuke Nakanishi, Miho Kuroda, Yuki Endo, Yujiro Ito, Takaki Hori.
Chibanishi general hospital, Chiba, Japan.

OBJECTIVE: Efficacy of minimally invasive cardiac surgery through the right mini-thoracotmy (MICS) in high-risk patients has not been fully discussed. This study aimed to assess early surgical outcomes and postoperative recovery of MICS in high-risk patients by comparing with those in low-risk patients.
METHODS: We reviewed our database of consecutive 250 patients who underwent MICS at out institution from 2014 to 2016. The patients were stratified into high-risk group (H group: EuroSCORE II 5 or greater) and low-risk group (L group: EuroSCORE II less than 5).
RESULTS: H groups included 45 patients with mean age 75 +/- 8 years and L groups included 205 patients with mean age 69 +/- 13 years. Mean EuroSCORE II was 11.9 +/- 8.5 in H group and 1.8 +/- 1.1 in L group (p<0.01). There was no significant difference in the preoperative comorbidities (hypertention, diabetes mellitus, chronic kidney disease, COPD, congestive heart failure, infective endocarditis) except for end-stage renal failure on hemodialysis (9% H group vs. 1 % L group). There was one hospital death in each group. There was no significant difference in the postoperative complication rate (stroke, respiratory failure, cardiac failure, re-exploration, acute kidney injury, atrial fibrillation, wound infection). The blood transfusion rate was significantly higher in H group (82 % H group vs. 30% L group, p < 0.01). Postoperative intubation time (17 hours H group vs. 11 hours L group, p < 0.01), intensive care (5.3 days H group vs. 2.9 days L group, p < 0.01) and hospital (19.0 days H group vs.11.8 days L group, p < 0.01) stay were longer in H groups.
CONCLUSIONS: MICS provides satisfactory surgical outcomes for high-risk patients as well as low-risk patients although postoperative recovery was delayed in high-risk patients.<!--EndFragment-->


Back to 2017 Display Posters
Copyright© 2019. International Society for Minimally Invasive Cardiothoracic Surgery.
Contact Us | Privacy Policy | All Rights Reserved.