著者

中尾 裕子 ナカオ ユウコ Yuko Nakao

雑誌

史苑

巻号頁・発行日

vol.66, no.1, pp.105-117, 2005-11-16

著者

Kazuki Hisatomi Takashi Miura Kikuko Obase Ichiro Matsumaru Shun Nakaji Akihiko Tanigawa Shunsuke Taguchi Masayuki Takura Yuko Nakao Kiyoyuki Eishi

出版者

The Japanese Circulation Society

雑誌

Circulation Journal (ISSN:13469843)

巻号頁・発行日

pp.CJ-22-0338, (Released:2022-10-05)

参考文献数

24

被引用文献数

1

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Background: For elderly people, the benefit of minimally invasive cardiac surgery (MICS) is unclear, so we evaluated the safety, recovery, and long-term survival in elderly MICS patients.Methods and Results: 63 propensity score-matched pairs of 213 consecutive patients (≥70 years old) who underwent mitral and/or tricuspid valve surgery between 2010 and 2020 (121 right mini-thoracotomies vs. 92 full sternotomies) were compared. The primary outcome was safety (composite endpoint of in-hospital death or major complication). Secondary outcomes were early ambulation and discharge to home. There were no differences between the groups for in-hospital death (3.2% vs. 0.0%, P=0.157) and primary outcome (14.3% vs. 17.5%, P=0.617). The rate of early ambulation (73.0% vs. 55.6%, P=0.048) and discharge to home (66.7% vs. 49.2%, P=0.034) were significantly higher in the mini-thoracotomy group. Major complication was an independent negative predictor of early ambulation for mini-thoracotomy but not for a conservative approach. Survival was 87.8±4.4% vs. 86.8±4.7% at 5 years, which was not significantly different.Conclusions: Similar safety but better recovery were observed for mini-thoracotomy, and long-term survival was comparable between groups. Major complication was a negative predictor of early ambulation after mini-thoracotomy. Careful preoperative risk stratification would enhance the benefits of MICS in elderly patients.

著者

中尾 祐子 ナカオ ユウコ Yuko Nakao

雑誌

RUGAS : 立教大学地理学人類学研究

巻号頁・発行日

vol.22, pp.63-96, 2004-12-31