Comparative Analysis of Short-Term Outcomes in Thoracoscopic Minimally Invasive Versus Traditional Mitral Valve Replacement: Randomized Clinical Trial Study
Background: The standard approach for mitral valve surgery was a sternotomy, but with the new trends, mitral valve surgery can now be performed with right mini thoracotomy incision. Minimally invasive mitral valve surgery has demonstrated superior cosmetic outcomes, less surgical trauma, shorte...
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University of Baghdad/ Al-Kindy College of Medicine
2025-08-01
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| Series: | مجله كليه طب الكندي |
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| Online Access: | https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/2190 |
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| author | Yusuf Shieba Abd Elhalim Shalaby Tamer Elbanna Mohamed-Adel Elgamal Ahmed El-minshawy |
| author_facet | Yusuf Shieba Abd Elhalim Shalaby Tamer Elbanna Mohamed-Adel Elgamal Ahmed El-minshawy |
| author_sort | Yusuf Shieba |
| collection | DOAJ |
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Background: The standard approach for mitral valve surgery was a sternotomy, but with the new trends, mitral valve surgery can now be performed with right mini thoracotomy incision. Minimally invasive mitral valve surgery has demonstrated superior cosmetic outcomes, less surgical trauma, shortened intensive care unit and hospital stays, cost effectiveness, and faster recovery, while the efficacy is comparable to conventional sternotomy.
Objective: The aim of this research is to investigate the short-term outcomes of thoracoscopic minimally invasive mitral valve replacement in comparison with the conventional technique.
Subjects and Methods: This study included 100 patients with isolated mitral valve disease, who were randomly divided into two equal groups. Group A underwent a right anterolateral video-assisted mini-thoracotomy, while Group B was approached via a conventional median sternotomy.
Results: The minimally invasive group had significantly longer total operative time (291.3±48.89 min vs. 227.68±49.18 min, p = 0.001). However, Group A demonstrated better post-operative outcomes, including shorter ICU stay (2.1±1.07 vs. 3.82±1.49 days, p = 0.002), shorter extubation time (4.24±1.12 vs. 8.45±4.55 hours, p = 0.0001), reduced post-operative blood loss (271.7±107.09 ml vs. 449.2±230.93 ml, p < 0.0001). Post-operative pain scores were significantly lower in Group A (VAS 3.84±1.53 vs. 7.58±1.62, p < 0.0001), and hospital stay was shorter (7.22±1.37 vs. 11.21±3.53 days, p < 0.0001).
Conclusions: Minimally invasive mitral valve surgery can be a safe and effective alternative to traditional MVS in patients with mitral valve disease.
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| format | Article |
| id | doaj-art-162bbb59dc8c46d3b82759080ded9fe3 |
| institution | Kabale University |
| issn | 1810-9543 2521-4365 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | University of Baghdad/ Al-Kindy College of Medicine |
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| series | مجله كليه طب الكندي |
| spelling | doaj-art-162bbb59dc8c46d3b82759080ded9fe32025-08-20T03:34:05ZengUniversity of Baghdad/ Al-Kindy College of Medicineمجله كليه طب الكندي1810-95432521-43652025-08-0121210.47723/bhcv7n53Comparative Analysis of Short-Term Outcomes in Thoracoscopic Minimally Invasive Versus Traditional Mitral Valve Replacement: Randomized Clinical Trial StudyYusuf Shieba0https://orcid.org/0000-0002-0565-7795Abd Elhalim Shalaby 1https://orcid.org/0009-0004-7428-3805Tamer Elbanna2https://orcid.org/0009-0001-2962-1391Mohamed-Adel Elgamal3https://orcid.org/0000-0002-0411-8087Ahmed El-minshawy4https://orcid.org/0000-0003-2383-6110Cardiothoracic Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt.Cardiac Surgery Department, National Heart Institute, Giza, Egypt.Cardiac Surgery Department, National Heart Institute, Giza, Egypt.Cardiothoracic Surgery Department, Faculty of medicine, AL-Mansoura university, AL-Mansoura, Egypt.Cardiothoracic Surgery Department, Faculty of Medicine, Assiut university, Assiut, Egypt. Background: The standard approach for mitral valve surgery was a sternotomy, but with the new trends, mitral valve surgery can now be performed with right mini thoracotomy incision. Minimally invasive mitral valve surgery has demonstrated superior cosmetic outcomes, less surgical trauma, shortened intensive care unit and hospital stays, cost effectiveness, and faster recovery, while the efficacy is comparable to conventional sternotomy. Objective: The aim of this research is to investigate the short-term outcomes of thoracoscopic minimally invasive mitral valve replacement in comparison with the conventional technique. Subjects and Methods: This study included 100 patients with isolated mitral valve disease, who were randomly divided into two equal groups. Group A underwent a right anterolateral video-assisted mini-thoracotomy, while Group B was approached via a conventional median sternotomy. Results: The minimally invasive group had significantly longer total operative time (291.3±48.89 min vs. 227.68±49.18 min, p = 0.001). However, Group A demonstrated better post-operative outcomes, including shorter ICU stay (2.1±1.07 vs. 3.82±1.49 days, p = 0.002), shorter extubation time (4.24±1.12 vs. 8.45±4.55 hours, p = 0.0001), reduced post-operative blood loss (271.7±107.09 ml vs. 449.2±230.93 ml, p < 0.0001). Post-operative pain scores were significantly lower in Group A (VAS 3.84±1.53 vs. 7.58±1.62, p < 0.0001), and hospital stay was shorter (7.22±1.37 vs. 11.21±3.53 days, p < 0.0001). Conclusions: Minimally invasive mitral valve surgery can be a safe and effective alternative to traditional MVS in patients with mitral valve disease. https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/2190Right Mini-ThoracotomyShort term outcomeMitral Valve ReplacementThoracoscopic Minimally Invasive Mitral Valve Surgery |
| spellingShingle | Yusuf Shieba Abd Elhalim Shalaby Tamer Elbanna Mohamed-Adel Elgamal Ahmed El-minshawy Comparative Analysis of Short-Term Outcomes in Thoracoscopic Minimally Invasive Versus Traditional Mitral Valve Replacement: Randomized Clinical Trial Study مجله كليه طب الكندي Right Mini-Thoracotomy Short term outcome Mitral Valve Replacement Thoracoscopic Minimally Invasive Mitral Valve Surgery |
| title | Comparative Analysis of Short-Term Outcomes in Thoracoscopic Minimally Invasive Versus Traditional Mitral Valve Replacement: Randomized Clinical Trial Study |
| title_full | Comparative Analysis of Short-Term Outcomes in Thoracoscopic Minimally Invasive Versus Traditional Mitral Valve Replacement: Randomized Clinical Trial Study |
| title_fullStr | Comparative Analysis of Short-Term Outcomes in Thoracoscopic Minimally Invasive Versus Traditional Mitral Valve Replacement: Randomized Clinical Trial Study |
| title_full_unstemmed | Comparative Analysis of Short-Term Outcomes in Thoracoscopic Minimally Invasive Versus Traditional Mitral Valve Replacement: Randomized Clinical Trial Study |
| title_short | Comparative Analysis of Short-Term Outcomes in Thoracoscopic Minimally Invasive Versus Traditional Mitral Valve Replacement: Randomized Clinical Trial Study |
| title_sort | comparative analysis of short term outcomes in thoracoscopic minimally invasive versus traditional mitral valve replacement randomized clinical trial study |
| topic | Right Mini-Thoracotomy Short term outcome Mitral Valve Replacement Thoracoscopic Minimally Invasive Mitral Valve Surgery |
| url | https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/2190 |
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