Why the study?
Identifying meaningful changes in postoperative function and patient-centered outcomes after minimally invasive cardiac surgery can provide a more comprehensive understanding of the impact on patients' lives.
Does totally endoscopic cardiac surgery improve quality of life in patients undergoing cardiac surgery?
Does totally endoscopic cardiac surgery improve quality of life in patients undergoing cardiac surgery?
Answers are grounded in this paper and cite their sources.
Totally endoscopic cardiac surgery is associated with an initial decline but subsequent improvement in patient-reported quality of life at 90 days postoperatively.
Over the past years, minimally invasive procedures have been developed to reduce surgical trauma after cardiac surgery. The value of patient-centered outcomes, including the quality of recovery after hospital discharge, is increasingly recognized. Identifying meaningful changes in postoperative function that might have a negative impact on patients without noticeable complications can provide a more comprehensive understanding of the impact on the patient's life. In total, 209 patients were included in this trial. Of these, 193 patients underwent totally endoscopic cardiac surgery, 8 underwent cardiac surgery through a sternotomy, and 8 underwent transcatheter aortic valve implantation. Patients who previously underwent cardiac surgery were excluded. Quality of life was determined through the Short Form 36 and European Quality of Life-5 Dimensions questionnaires before the surgery and 14, 30, and 90 days afterward. In patients who underwent totally endoscopic cardiac surgery, the quality of life improved over the three time periods. The different domains of the questionnaire evolved in a positive manner. However, 14 days postoperatively, a decline in quality of life was noted, followed by a return to baseline at 30 days and an increase at 90 days. In conclusion, totally endoscopic cardiac surgery improves the quality of life 90 days after surgery.
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Claessens et al. (2022) studied this question.
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