Outcomes of video-assisted minimally invasive approach through right mini-thoracotomy for resection of benign cardiac masses; compared with median sternotomy

Sadanari Sawaki, Toshiaki Ito, Atsuo Maekawa, Satoshi Hoshino, Yasunari Hayashi, Junji Yanagisawa, Masayosi Tokoro, Takahiro Ozeki

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Background: We performed a retrospective study of patients who underwent a video-assisted minimally invasive right mini-thoracotomy approach for cardiac benign tumor resection compared with median sternotomy.

Methods: Of 23 patients who underwent isolated benign cardiac mass resection at the Japanese Red Cross Nagoya Daiichi Hospital from 2001 to 2014, 16 patients were treated through median sternotomy and seven were operated through right mini-thoracotomy.

Results: No hospital deaths occurred. The duration of operation, cardiopulmonary bypass time, and aortic clamp time showed no significant differences. Although the postoperative intubation time and intensive care unit stay time did not differ significantly between the groups, the duration of hospital stay was significantly shorter in the minimally invasive group (17.5 ± 5.6 vs. 10.4 ± 1.5 days; p = 0.004). All of the patients except two were followed to the late phase (late follow-up rate, 91.3 %), for a mean duration of 4.7 ± 3.7 years. There were two late deaths in the sternotomy group and no recurrences in either group during the follow-up period.

Conclusions: We concluded that the clinical outcome of the minimally invasive technique for myxoma resection was acceptable and the technique is feasible.

Original languageEnglish
Pages (from-to)142-146
Number of pages5
JournalGeneral Thoracic and Cardiovascular Surgery
Volume63
Issue number3
DOIs
Publication statusPublished - 03-2015
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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