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Review
. 2023 Jul;39(4):367-380.
doi: 10.1007/s12055-023-01501-y. Epub 2023 Apr 3.

Quality of life in patients undergoing minimally invasive cardiac surgery: a systematic review

Jade Claessens  1   2 , Roxanne Rottiers  2   3 , Jeroen Vandenbrande  4 , Ine Gruyters  4 , Alaaddin Yilmaz  1 , Abdullah Kaya  1   2 , Björn Stessel  2   4
Affiliations
Review

Quality of life in patients undergoing minimally invasive cardiac surgery: a systematic review

Jade Claessens et al. Indian J Thorac Cardiovasc Surg. 2023 Jul.

Abstract

Objective: Minimally invasive procedures have been developed to reduce surgical trauma after cardiac surgery. Clinical recovery is the main focus of most research. Still, patient-centred outcomes, such as the quality of life, can provide a more comprehensive understanding of the impact of the surgery on the patient's life. This systematic review aims to deliver a detailed summary of all available research investigating the quality of recovery, assessed with quality of life instruments, in adults undergoing minimally invasive cardiac surgery.

Methods: All randomised trials, cohort studies, and cross-sectional studies assessing the quality of recovery in patients undergoing minimally invasive cardiac surgery compared to conventional cardiac surgery within the last 20 years were included, and a summary was prepared.

Results: The randomised trial observed an overall improved quality of life after both minimally invasive and conventional surgery. The quality of life improvement in the minimally invasive group showed a faster course and evolved to a higher level than the conventional surgery group. These findings align with the results of prospective cohort studies. In the cross-sectional studies, no significant difference in the quality of life was seen except for one that observed a significantly higher quality of life in the minimally invasive group.

Conclusions: This systematic review indicates that patients may benefit from minimally invasive and conventional cardiac surgery, but patients undergoing minimally invasive cardiac surgery may recover sooner and to a greater extent. However, no firm conclusion could be drawn due to the limited available studies. Therefore, randomised controlled trials are needed.

Keywords: EQ-5D; Minimally invasive cardiac surgery; Quality of life; Quality of recovery; SF-36.

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Conflict of interest statement

Conflict of interestThe authors declare that they have no conflicting interests.

Figures

Fig. 1
Fig. 1
PRISMA flowchart. Abbreviations: QoL, quality of life; SF-36, Short-Form 36; EQ-5D, European Quality of Life 5 dimensions
See this image and copyright information in PMC

References

    1. Losanoff JE, Richman BW, Jones JW. Disruption and infection of median sternotomy: a comprehensive review. Eur J Cardiothorac Surg. 2002;21:831–839. doi: 10.1016/S1010-7940(02)00124-0. - DOI - PubMed
    1. Küçükdurmaz F, Ağır I, Bezer M. Comparison of straight median sternotomy and interlocking sternotomy with respect to biomechanical stability. World J Orthop. 2013;4:134–138. doi: 10.5312/wjo.v4.i3.134. - DOI - PMC - PubMed
    1. El-Ansary D, Waddington G, Adams R. Measurement of non-physiological movement in sternal instability by ultrasound. Ann Thorac Surg. 2007;83:1513–1516. doi: 10.1016/j.athoracsur.2006.10.058. - DOI - PubMed
    1. Iribarne A, Easterwood R, Russo MJ, et al. A minimally invasive approach is more cost-effective than a traditional sternotomy approach for mitral valve surgery. J Thorac Cardiovasc Surg. 2011;142:1507–1514. doi: 10.1016/j.jtcvs.2011.04.038. - DOI - PMC - PubMed
    1. Rao C, Aziz O, Deeba S, et al. Is minimally invasive harvesting of the great saphenous vein for coronary artery bypass surgery a cost-effective technique? J Thorac Cardiovasc Surg. 2008;135:809–815. doi: 10.1016/j.jtcvs.2007.09.042. - DOI - PubMed

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