Mastering minimally invasive mitral valve surgery requires a substantial number of operations, highlighting the need for structured training and competence programs.
A true learning curve exists for minimally invasive surgery of the mitral valve. Although the number of operations required to overcome the learning curve is substantial, marked variation exists between individual surgeons. Such information could be very helpful in structuring future training and maintenance of competence programs for this kind of surgery.
Holzhey et al. (Thu,) studied this question.