Key result
The thoracoscopic periareolar approach for minimally invasive mitral valve surgery demonstrated similar 5-year overall survival compared to the video-assisted approach (propensity-matched HR 0.74).
Why the study?
Does the thoracoscopic periareolar approach improve outcomes compared to video-assisted minithoracotomy in patients undergoing minimally invasive mitral valve surgery?
Cohort (n=178)
No
Does the thoracoscopic periareolar approach improve outcomes compared to video-assisted minithoracotomy in patients undergoing minimally invasive mitral valve surgery?
Hazard Ratio: 0.74 (95% CI 0.06–6.56)
Absolute Event Rate: 94.3% vs 96.2%
p-value: p=0.7
The thoracoscopic periareolar approach is a safe and feasible alternative to video-assisted minithoracotomy for minimally invasive mitral valve surgery, with similar mortality and complication rates.
A T I O N TP versus
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Suwalski et al. (2020) conducted a cohort in Mitral valve disease (n=178). Thoracoscopic periareolar (TP) approach vs. Right-sided video-assisted minithoracotomy was evaluated on Overall survival (HR 0.74, 95% CI 0.06-6.56, p=0.7). The thoracoscopic periareolar approach for minimally invasive mitral valve surgery demonstrated similar 5-year overall survival compared to the video-assisted approach (propensity-matched HR 0.74).
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