ArticleBMC anesthesiology2024
Minimally invasive technique facilitates early extubation after cardiac surgery: a single-center retrospective study.
Article in BMC anesthesiology, 2024. 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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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- Immediate extubation post-surgery in cardiac patients: a retrospective single-center case series and literature review.Journal of cardiothoracic surgery · 2026Review
- The HALP Score and Its Association with Respiratory and Intensive Care Outcomes After Minimally Invasive Valve Surgery: The MINI-HALP Study.Anatolian journal of cardiology · 2026Article
- Postoperative pulmonary complications after totally thoracoscopic cardiac surgery: a retrospective cohort study comparing single-lumen and double-lumen endotracheal tubes.Frontiers in medicine · 2026Article
- Review
- A Scoping Review of Factors Associated with Delayed Extubation in Post Cardiac Surgery Patients.Vascular health and risk management · 2025Article
- Fatal air embolism caused by air entry into the cardiopulmonary bypass circuit during minimally invasive atrial septal defect repair: a case report.Frontiers in cardiovascular medicine · 2025Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundPostoperative 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.
methodsData 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.
resultsAfter 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 < 0.01), reduced incidence of postoperative pleural effusion (P < 0.05), significantly shorter length of stay in the intensive care unit (P < 0.01), shorter overall length of hospital stay (P < 0.01), and lower total cost of hospitalization (P < 0.01).
conclusionsSuccessful early tracheal extubation is important for the intensive care management of patients after heart valve surgery. The advantages of MI video-assisted thoracoscopic surgery over conventional MS include significant reductions in the duration of use of mechanical ventilation support, reduced length of intensive care unit stay, reduced total length of hospitalization, and a favorable patient recovery rate.
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