Why the study?
A group of experts convened to identify the essential elements of a minimally invasive cardiac surgery program and its relationship with Enhanced Recovery After Surgery.
Maximizing the benefits of minimally invasive cardiac surgery requires integration with an Enhanced Recovery After Surgery (ERAS) program and optimized myocardial management.
May support ERAS integration for recovery after minimally invasive cardiac surgery; leaves open prospective validation.
We convened a group of cardiac surgeons, intensivists, and anesthesiologists with extensive experience in minimally invasive cardiac surgery (MICS) and perioperative care to identify the essential elements of a MICS program and the relationship with Enhanced Recovery After Surgery (ERAS). The MICS incision should minimize tissue invasion without compromising surgical goals. MICS also requires safe management of hemodynamics and preservation of cardiac function, which we have termed myocardial management . Finally, comprehensive perioperative care through an ERAS program should be provided to allow patients to achieve optimal recovery. Therefore, we propose that MICS requires 3 elements: (1) a less invasive surgical incision (non–full sternotomy), (2) optimized myocardial management, and (3) ERAS. We contend that the full benefit of MICS can be achieved only by also utilizing an ERAS platform.
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Salenger et al. (2024) studied this question.
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