الفهرس | Only 14 pages are availabe for public view |
Abstract Objective Postoperative pulmonary complications (PPCs) are common incidents associated with an increased hospital stay, readmissions into the intensive care unit (ICU), increased costs, and mortality after cardiac surgery. Our study aims to compare the incidence of postoperative pulmonary complications between minimally invasive mitral valve surgery (MIVS) and full median sternotomy (FS) approach. Methods We reviewed the records of 120 patients who underwent isolated mitral valve surgery (60 MIVS and 60 FS) in our institution between January 2020 and Januray 2022. Propensity score-matching analysis was used to compare outcomes between the groups and to reduce selection bias. Results: The incidence of PPCs was insignificantly less in the MIVS group than in the FS group. The most common PPCs were atelectasis , pleural effusions , and pulmonary infection . Prolonged mechanical ventilation time (> 24 h) , length of hospital stay, and ICU stay were significantly less in the MIVS group. Cardiopulmonary bypass (CBP), aortic cross-clamping, and operative time intervals were significantly longer in the MIVS group than in the matched FS group (P < 0.001). A multivariable analysis revealed a decreased risk of PPCs in patients undergoing MIVS (odds ratio, 0.25; 95% confidence interval, 0.006–0.180; P < 0.0001). |