Cardiac surgery using a single thoracic port-current status and future directions

Cardiac surgery is almost universally performed through a median sternotomy, an approach which is painful, unestethical, and prone to life-threatening infections. Minimally invasive cardiac surgery has tried to avoid problems associated with full sternotomy for many years. Recently, uniportal thorac...

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Published inJournal of thoracic disease Vol. 9; no. 4; pp. 898 - 902
Main Authors Gallego-Poveda, Javier, Guerra, Nuno Carvalho, Gonzalez-Rivas, Diego, Carvalheiro, Catarina, Ferreira, Hugo, Sena, André, Junqueira, Nádia, Velho, Tiago Rodrigues, Nobre, Ângelo
Format Journal Article
LanguageEnglish
Published China AME Publishing Company 01.04.2017
Subjects
Review dedicated to the 3rd International VATS Course in Berlin
uniportal thoracic surgery
Minimally invasive cardiac surgery
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Summary:Cardiac surgery is almost universally performed through a median sternotomy, an approach which is painful, unestethical, and prone to life-threatening infections. Minimally invasive cardiac surgery has tried to avoid problems associated with full sternotomy for many years. Recently, uniportal thoracic surgery was shown to be very advantageous when compared to standard thoracotomy and classical video assisted thoracic surgery (VATS). Despite very good results in lung surgery, cardiac surgery through a single thoracic port has rarely been attempted and successfully conducted. The authors present the rational, the technique, and their experience in cardiac single thoracic port surgery (CSTPS).
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Contributions: (I) Conception and design: J Gallego-Poveda, NC Guerra; (II) Administrative support: C Carvalheiro, H Ferreira, A Sena; (III) Provision of study materials or patients: C Carvalheiro, H Ferreira, A Sena; (IV) Collection and assembly of data: C Carvalheiro, H Ferreira, A Sena; (V) Data analysis and interpretation: NC Guerra; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.
ISSN:2072-1439
2077-6624
DOI:10.21037/jtd.2017.02.07