Observational studyBrazilian journal of cardiovascular surgery2022
In-Hospital Outcomes of Right Minithoracotomy vs. Periareolar Access for Minimally Invasive Video-Assisted Mitral Valve Repair.
Observational study in Brazilian journal of cardiovascular surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Periareolar approach in video-assisted thoracoscopic surgery for right middle lobectomy: a novel technique.Surgical endoscopy · 2024Trial
- Conventional Versus Minimally Invasive Mitral Valve Replacement: A Retrospective Comparison of Sternotomy, Mini-Thoracotomy, and Periareolar Approaches.Journal of clinical medicine · 2026Article
- Analysis of the safety and feasibility of subcutaneous areolar tunnel single-port thoracoscopic radical resection for lung cancer: a retrospective cohort study.Updates in surgery · 2026Article
- DO₂/VCO₂ Ratio Improvement on Cardiopulmonary Bypass During Minimally Invasive Mitral Valve Repair.Brazilian journal of cardiovascular surgery · 2024Article
- Periareolar minimally invasive approach for cardiac surgery: a case series and description of technique with a review of literature.Journal of cardiothoracic surgery · 2024Review
- Totally endoscopic periareolar approach for mitral valve repair. First case reported in Peru.Archivos peruanos de cardiologia y cirugia cardiovascularArticle
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Authors and funding
8 authors.
Funding
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Abstract
introductionIn minimally invasive mitral valve repair, right minithoracotomy is the most widely performed method, providing a good view of the mitral valve. But regarding other techniques and although it offers limited visualization, the periareolar access is a less traumatic alternative. This study's purpose is to compare in-hospital outcomes in patients who underwent video-assisted minimally invasive mitral valve repair via right minithoracotomy and periareolar access.
methodsThis is a retrospective observational study including 37 patients (> 18 years old), without previous right thoracic surgery, who underwent their primary mitral valve repair, with indication for minimally invasive video-assisted approach (via right minithoracotomy or periareolar access), between January 2018 and August 2019. Patients' medical records were consulted to collect demographics data, operative details, and in-hospital outcomes.
resultsTwenty-one patients underwent right minithoracotomy, and 16 were operated via periareolar access. The mean patients' age was 62±12 years in the right minithoracotomy group and 61±9 years in the periareolar access group (P=0.2). There are no significant differences in incision length, cardiopulmonary bypass time, aortic cross-clamping time, hematocrit, amount of chest tube drainage, and intensive care unit and in-hospital length of stay. Time to extubation presented significant differences between the right minithoracotomy and the periareolar access group (4.85 hours vs. 5.62 hours, respectively) (P=0.04).
conclusionIn this study, we found similar results in the two applied surgical techniques, except for the time to extubation.
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