الفهرس 
Title : Minimal invasive mitral valve surgery versus traditional median sternotomy regarding pulmonary complications
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Abstract
Objective
Postoperative pulmonary complications (PPCs) are common
incidents associated with an increased hospital stay, readmissions into the
intensive care unit (ICU), increased costs, and mortality after cardiac
surgery. Our study aims to compare the incidence of postoperative
pulmonary complications between minimally invasive mitral valve
surgery (MIVS) and full median sternotomy (FS) approach.
Methods
We reviewed the records of 120 patients who underwent isolated
mitral valve surgery (60 MIVS and 60 FS) in our institution between
January 2020 and Januray 2022. Propensity score-matching analysis was
used to compare outcomes between the groups and to reduce selection
bias.
Results:
The incidence of PPCs was insignificantly less in the MIVS group
than in the FS group.
The most common PPCs were atelectasis , pleural effusions , and
pulmonary infection . Prolonged mechanical ventilation time (> 24 h) ,
length of hospital stay, and ICU stay were significantly less in the MIVS
group. Cardiopulmonary bypass (CBP), aortic cross-clamping, and
operative time intervals were significantly longer in the MIVS group than
in the matched FS group (P < 0.001). A multivariable analysis revealed a
decreased risk of PPCs in patients undergoing MIVS (odds ratio, 0.25;
95% confidence interval, 0.006–0.180; P < 0.0001).