Full Text:   <3541>

CLC number: R654.2

On-line Access: 2024-08-27

Received: 2023-10-17

Revision Accepted: 2024-05-08

Crosschecked: 2014-05-26

Cited: 5

Clicked: 6686

Citations:  Bibtex RefMan EndNote GB/T7714

-   Go to

Article info.
Open peer comments

Journal of Zhejiang University SCIENCE B 2014 Vol.15 No.6 P.522-532

http://doi.org/10.1631/jzus.B1300210


Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis


Author(s):  Chao Ding1, Da-ming Jiang2, Kai-yu Tao2, Qun-jun Duan2, Jie Li3, Min-jian Kong2, Zhong-hua Shen2, Ai-qiang Dong2

Affiliation(s):  1. Department of Gynaecology, Zhejiang Cancer Hospital, Hangzhou 310022, China; more

Corresponding email(s):   to_jiangdm@163.com

Key Words:  Minimally invasive surgical procedures, Anterolateral minithoracotomy (ALMT), Median sternotomy (MS), Mitral valve, Meta-analysis


Chao Ding, Da-ming Jiang, Kai-yu Tao, Qun-jun Duan, Jie Li, Min-jian Kong, Zhong-hua Shen, Ai-qiang Dong. Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis[J]. Journal of Zhejiang University Science B, 2014, 15(6): 522-532.

@article{title="Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis",
author="Chao Ding, Da-ming Jiang, Kai-yu Tao, Qun-jun Duan, Jie Li, Min-jian Kong, Zhong-hua Shen, Ai-qiang Dong",
journal="Journal of Zhejiang University Science B",
volume="15",
number="6",
pages="522-532",
year="2014",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1300210"
}

%0 Journal Article
%T Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis
%A Chao Ding
%A Da-ming Jiang
%A Kai-yu Tao
%A Qun-jun Duan
%A Jie Li
%A Min-jian Kong
%A Zhong-hua Shen
%A Ai-qiang Dong
%J Journal of Zhejiang University SCIENCE B
%V 15
%N 6
%P 522-532
%@ 1673-1581
%D 2014
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1300210

TY - JOUR
T1 - Anterolateral minithoracotomy versus median sternotomy for mitral valve disease: a meta-analysis
A1 - Chao Ding
A1 - Da-ming Jiang
A1 - Kai-yu Tao
A1 - Qun-jun Duan
A1 - Jie Li
A1 - Min-jian Kong
A1 - Zhong-hua Shen
A1 - Ai-qiang Dong
J0 - Journal of Zhejiang University Science B
VL - 15
IS - 6
SP - 522
EP - 532
%@ 1673-1581
Y1 - 2014
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1300210


Abstract: 
Objective: mitral valve disease tends to be treated with anterolateral minithoracotomy (ALMT) rather than median sternotomy (MS), as ALMT uses progressively smaller incisions to promote better cosmetic outcomes. This meta-analysis quantifies the effects of ALMT on surgical parameters and post-operative outcomes compared with MS. Methods: One randomized controlled study and four case-control studies, published in English from January 1996 to January 2013, were identified and evaluated. Results: ALMT showed a significantly longer cardiopulmonary bypass time (P=0.001) and aortic cross-clamp time (P=0.05) compared with MS. However, the benefits of ALMT were evident as demonstrated by a shorter length of hospital stay (P<0.00001). According to operative complications, the onset of new arrhythmias following ALMT decreased significantly as compared with MS (P=0.05); however, the incidence of peri-operative mortality (P=0.62), re-operation for bleeding (P=0.37), neurologic events (P=0.77), myocardial infarction (P=0.84), gastrointestinal complications (P=0.89), and renal insufficiency (P=0.67) were similar to these of MS. Long-term follow-up data were also examined, and revealed equivalent survival and freedom from mitral valve events. Conclusions: Current clinical data suggest that ALMT is a safe and effective alternative to the conventional approach and is associated with better short-term outcomes and a trend towards longer survival.

二尖瓣瓣膜病行右前外侧小切口与胸骨正中切口手术研究的meta分析

研究目的:二尖瓣瓣膜病越来越趋向于应用右前外侧小切口(ALMT)替代胸骨正中切口(MS)进行手术,因为其更美观、微创。本文主要是比较分析ALMT组与MS组的手术参数及术后结果。
研究方法:从1996年1月至2013年1月期间发表的英文论文中,选出1篇随机对照研究及4篇病例对照研究进行分析。
重要结论:目前的临床数据显示,相比较于传统的胸骨正中切口二尖瓣手术,右前外侧小切口手术是一种安全、有效的方法,具有较好的近期和远期疗效。

关键词:微创手术;胸部小切口;正中开胸;二尖瓣;Meta分析

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

References

[1] Anyanwu, A.C., Adams, D.H., 2012. Should complex mitral valve repair be routinely performed using a minimally invasive approach?. Curr Opin Cardiol, 27(2):118-124. 


[2] Asher, C.R., DiMengo, J.M., Arheart, K.L., 1999. Atrial fibrillation early postoperatively following minimally invasive cardiac valvular surgery. Am J Cardiol, 84(6):744-747. 


[3] Aybek, T., Dogan, S., Wimmer-Greinecker, G., 2000. The micro-mitral operation comparing the port-access technique and the transthoracic clamp technique. J Card Surg, 15(1):76-81. 


[4] Aybek, T., Dogan, S., Risteski, P.S., 2006. Two hundred forty minimally invasive mitral operations through right minithoracotomy. Ann Thorac Surg, 81(5):1618-1624. 


[5] Brown, M.L., McKellar, S.H., Sundt, T.M., 2009. Ministernotomy versus conventional sternotomy for aortic valve replacement: a systematic review and meta-analysis. J Thorac Cardiovasc Surg, 137(3):670-679. 


[6] Byrne, J.G., Hsin, M.K., Adams, D.H., 2000. Minimally invasive direct access heart valve surgery. J Card Surg, 15(1):21-34. 


[7] Chitwood, W.R., Wixon, C.L., Elbeery, J.R., 1997. Video-assisted minimally invasive mitral valve surgery. J Thorac Cardiovasc Surg, 114(5):773-782. 


[8] Cosgrove III, D.M., Sabik, J.F., Navia, J.L., 1998. Minimally invasive valve operations. Ann Thorac Surg, 65(6):1535-1539. 


[9] de Abreu, M.G., Heintz, M., Heller, A., 2003. One-lung ventilation with high tidal volumes and zero positive end-expiratory pressure is injurious in the isolated rabbit lung model. Anesth Analg, 96(1):220-228. 


[10] de Vaumas, C., Philip, I., Daccache, G., 2003. Comparison of minithoracotomy and conventional sternotomy approaches for valve surgery. J Cardiothorac Vasc Anesth, 17(3):325-328. 


[11] Ding, C., Wang, C., Dong, A., 2012. Anterolateral minithoracotomy versus median sternotomy for the treatment of congenital heart defects: a meta-analysis and systematic review. J Cardiothorac Surg, 7:43


[12] Felger, J.E., Chitwood, W.R., Nifong, L.W., 2001. Evolution of mitral valve surgery: toward a totally endoscopic approach. Ann Thorac Surg, 72(4):1203-1209. 


[13] Gillinov, A.M., Mihaljevic, T., 2012. The future of mitral valve surgery. Tex Heart Inst J, 39(6):840-841. 


[14] Gillinov, A.M., Banbury, M.K., Cosgrove, D.M., 2000. Hemisternotomy approach for aortic and mitral valve surgery. J Card Surg, 15(1):15-20. 


[15] Glaubera, M., Karimova, J.H., Farneti, P.A., 2009. Minimally invasive mitral valve surgery via right minithoracotomy. Multimedia Manual Cardiothorac Surg, 2009(0122):mmcts.2008.003350


[16] Glower, D.D., Siegel, L.C., Galloway, A.C., 2001. Predictors of operative time in multicenter port-access valve registry: institutional differences in learning. Heart Surg Forum, 4(1):40-46. 


[17] Gothard, J., 2006. Lung injury after thoracic surgery and one-lung ventilation. Curr Opin Anaesthesiol, 19(1):5-10. 


[18] Grossi, E.A., Galloway, A.C., LaPietra, A., 2002. Minimally invasive mitral valve surgery: a 6-year experience with 714 patients. Ann Thorac Surg, 74(3):660-664. 


[19] Gundry, S.R., Shattuck, O.H., Razzouk, A.J., 1998. Facile minimally invasive cardiac surgery via ministernotomy. Ann Thorac Surg, 65(4):1100-1104. 


[20] Holzhey, D.M., Shi, W., Borger, M.A., 2011. Minimally invasive versus sternotomy approach for mitral valve surgery in patients greater than 70 years old: a propensity-matched comparison. Ann Thorac Surg, 91(2):401-405. 


[21] Iribarne, A., Russo, M.J., Easterwood, R., 2010. Minimally invasive versus sternotomy approach for mitral valve surgery: a propensity analysis. Ann Thorac Surg, 90(5):1471-1478. 


[22] Iribarne, A., Easterwood, R., Russo, M.J., 2012. Comparative effectiveness of minimally invasive versus traditional sternotomy mitral valve surgery in elderly patients. J Thorac Cardiovasc Surg, 143(4):S86-S90. 


[23] Khoshbin, E., Prayaga, S., Kinsella, J., 2011. Mini-sternotomy for aortic valve replacement reduces the length of stay in the cardiac intensive care unit: meta-analysis of randomized controlled trials. BMJ Open, 1(2):e000266


[24] Loulmet, D.F., Carpentier, A., Cho, P.W., 1998. Less invasive techniques for mitral valve surgery. J Thorac Cardiovasc Surg, 115(4):772-779. 


[25] Martin, J.S., Davis, R.D., Glower, D.D., 2006. Intermediate-term results of 505 consecutive minithoracotomy mitral valve procedures. Innovat Technol Tech Cardiothorac Vasc Surg, 1(3):99-104. 

[26] Mathew, J.P., Fontes, M.L., Tudor, I.C., 2004. A multi-center risk index for atrial fibrillation after cardiac surgery. JAMA, 291(14):1720-1729. 


[27] Mishra, Y.K., Malhotra, R., Mehta, Y., 1999. Minimally invasive mitral valve surgery through right anterolateral minithoracotomy. Ann Thorac Surg, 68(4):1520-1524. 


[28] Modi, P., Hassan, A., Chitwood, W.R., 2008. Minimally invasive mitral valve surgery: a systematic review and meta-analysis. Eur J Cardiothorac Surg, 34(5):943-952. 


[29] Mohr, F.W., Falk, V., Diegeler, A., 1998. Minimally invasive port-access mitral valve surgery. J Thorac Cardiovasc Surg, 115(3):567-576. 


[30] Murtuza, B., Pepper, J.R., Stanbridge, R.D., 2008. Minimal access aortic valve replacement: is it worth it?. Ann Thorac Surg, 85(3):1121-1131. 


[31] Mller, L.C., Hangler, H., Kilo, J., 2011. Minimally invasive mitral valve surgery in the old patient. Eur Surg, 43(2):96-98. 


[32] Onnasch, J.F., Schneider, F., Falk, V., 2002. Five years of less invasive mitral valve surgery: from experimental to routine approach. Heart Surg Forum, 5(2):132-135. 


[33] Onnasch, J.F., Schneider, F., Falk, V., 2002. Minimally invasive approach for redo mitral valve surgery: a true benefit for the patient. J Card Surg, 17(1):14-19. 


[34] Reichenspurner, H., Detter, C., Deuse, T., 2005. Video and robotic-assisted minimally invasive mitral valve surgery: a comparison of the port-access andtransthoracic clamp techniques. Ann Thorac Surg, 79(2):485-490. 


[35] Reser, D., Jacobs, S., Grnenfelder, J., 2012. Outcomes of minimally invasive mitral valve surgery through a right lateral mini-thoracotomy. Thorac Cardiovasc Surg, 60(S01):V205


[36] Riess, F.C., Moshar, S., Bader, R., 2001. Correction of congenital heart defects and mitral valve operations using limited anterolateral thoracotomy. Heart Surg Forum, 4(1):34-39. 


[37] Seeburger, J., Borger, M.A., Falk, V., 2008. Minimal invasive mitral valve repair for mitral regurgitation: results of 1339 consecutive patients. Eur J Cardiothorac Surg, 34(4):760-765. 


[38] Seeburger, J., Borger, M.A., Falk, V., 2009. Minimally invasive mitral valve surgery after previous sternotomy: experience in 181 patients. Ann Thorac Surg, 87(3):709-714. 


[39] Soltesz, E.G., Cohn, L.H., 2007. Minimally invasive valve surgery. Cardiol Rev, 15(3):109-115. 


[40] Speziale, G., Nasso, G., Esposito, G., 2011. Results of mitral valve repair for Barlow diseas (bileaflet prolapse) via right minithoracotomy versus conventional median sternotomy: a randomized trial. J Thorac Cardiovasc Surg, 142(1):77-83. 


[41] Sndermann, S.H., Scherman, J., Falk, V., 2012. Minimally invasive and transcatheter techniques in high-risk cardiac surgery patients. Inter Cardiol, 4(2):253-263. 


[42] Unzueta, M.C., Casas, J.I., Moral, M.V., 2007. Pressure-controlled versus volume-controlled ventilation during one-lung ventilation for thoracic surgery. Anesth Analg, 104(5):1029-1033. 


[43] Vanermen, H., Wellens, F., de Geest, R., 1999. Video-assisted port-access mitral valve surgery from debut to routine surgery. Will trocar-port-access cardiac surgery ultimately lead to robotic cardiac surgery?. Semin Thorac Cardiovasc Surg, 11(3):223-234. 


[44] Walther, T., Falk, V., Metza, S., 1999. Pain and quality of life after minimally invasive versus conventional cardiac surgery. Ann Thorac Surg, 67(6):1643-1647. 



Open peer comments: Debate/Discuss/Question/Opinion

<1>

Please provide your name, email address and a comment





Journal of Zhejiang University-SCIENCE, 38 Zheda Road, Hangzhou 310027, China
Tel: +86-571-87952783; E-mail: cjzhang@zju.edu.cn
Copyright © 2000 - 2024 Journal of Zhejiang University-SCIENCE