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While MICS is increasingly utilized for isolated mitral valve surgery, its broader adoption is hindered by technical complexity, training requirements, and high equipment costs without adequate insurance reimbursement.
年 代 後 半 か ら Minimally Invasive Cardiac Surgery (MICS)として施行されてきた小切開心臓手術は，一定 の評価をうけ，僧帽弁単独手術の 10-15% 程度が MICS で施行されるようになったと推測されていた．しかし，末 梢血管へのカニュレーションによる体外循環確立や小さな 作業空間での手術など従来の心臓手術と異なる手術構成に 対して外科医の熟練や手術チーム育成に手間がかかるだけ でなく，手術用内視鏡セットや長尺手術器具のコストがか かる．公的医療保険においてこれらへの手当がされてこな
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Kazuma Okamoto (2019) conducted a review in Cardiovascular disease requiring minimally invasive therapy. Minimally invasive cardiovascular therapies (MICS, robotic surgery, rapid deployment valves, transcatheter repair) was evaluated.
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