ArticleGeneral thoracic and cardiovascular surgery2026
Minimally invasive cardiac surgeries in 2022: annual report by Japanese Society of Minimally Invasive Cardiac Surgery.
Article in General thoracic and cardiovascular surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeUp-to-date national data on minimally invasive cardiac surgery (MICS) are essential for quality control but remain limited. This report summarizes 2022 outcomes of right- or left-minithoracotomy, thoracoscopic/port-assisted, and robotic-assisted MICS in Japan, based on the Japan Cardiovascular Surgery Database (JCVSD).
methodsData were collected from patients undergoing mitral valve repair/replacement (MV repair, n = 2525; MVR, n = 279), aortic valve replacement (AVR, n = 1114), coronary artery bypass grafting (CABG, n = 450), atrial septal defect closure (ASD, n = 212), and cardiac tumor resection (n = 113) using MICS approaches. Perioperative data included 30-day and in-hospital mortality, conversion rates, and major morbidities.
resultsFor MV repair, the 30-day and in-hospital mortality rates were 0.3% and 0.2% in isolated cases (n = 1461) and 0.4% and 0.6% overall, respectively. Mortality rates for MVR were 2.5% and 4.2% in isolated cases (n = 120) and 2.9% and 4.3% overall, respectively. Mortality rates for AVR were 0.6% and 1.0% in isolated cases (n = 981) and 0.9% and 1.3% overall, respectively. Mortality rates for CABG were 1.6% and 1.8%, respectively. Mortality rates were 0% for both ASD closure and tumor resection. Across the groups, conversion to full sternotomy ranged from 0% to 1.8%.
conclusionThe 2022 nationwide MICS data demonstrate consistently low mortality and morbidity across all procedure types. As MICS adoption grows, these updated JCVSD findings will serve as vital benchmarks for ongoing quality improvement in Japan.
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