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Review
. 2017 Apr;9(4):898-902.
doi: 10.21037/jtd.2017.02.07.

Cardiac surgery using a single thoracic port-current status and future directions

Affiliations
Review

Cardiac surgery using a single thoracic port-current status and future directions

Javier Gallego-Poveda et al. J Thorac Dis. 2017 Apr.

Abstract

Cardiac surgery is almost universally performed through a median sternotomy, an approach which is painful, unestethical, and prone to life-threatening infections. Minimally invasive cardiac surgery has tried to avoid problems associated with full sternotomy for many years. Recently, uniportal thoracic surgery was shown to be very advantageous when compared to standard thoracotomy and classical video assisted thoracic surgery (VATS). Despite very good results in lung surgery, cardiac surgery through a single thoracic port has rarely been attempted and successfully conducted. The authors present the rational, the technique, and their experience in cardiac single thoracic port surgery (CSTPS).

Keywords: Minimally invasive cardiac surgery; uniportal thoracic surgery.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Placing the thoracoscope on the anterior extreme of the incision along with endoclamp allows for full single thoracic port mitral surgery.

References

    1. Cotogni P, Barbero C, Rinaldi M. Deep sternal wound infection after cardiac surgery: Evidences and controversies. World J Crit Care Med 2015;4:265-73. 10.5492/wjccm.v4.i4.265 - DOI - PMC - PubMed
    1. Iribarne A, Easterwood R, Chan EY, et al. The golden age of minimally invasive cardiothoracic surgery: current and future perspectives. Future Cardiol 2011;7:333-46. 10.2217/fca.11.23 - DOI - PMC - PubMed
    1. Ng CS, Gonzalez-Rivas D, D'Amico TA, et al. Uniportal VATS-a new era in lung cancer surgery. J Thorac Dis 2015;7:1489-91. - PMC - PubMed
    1. Czesla M, Götte JM, Doll N. How to establish video assisted, minimally invasive mitral valve surgery. Heart 2012;98:1172-8. 10.1136/heartjnl-2011-300348 - DOI - PubMed
    1. Seeburger J, Borger MA, Falk V, et al. Minimal invasive mitral valve repair for mitral regurgitation: results of 1339 consecutive patients. Eur J Cardiothorac Surg 2008;34:760-5. 10.1016/j.ejcts.2008.05.015 - DOI - PubMed

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