Learning Curve from 100 Cases of Totally Thoracoscopic Mitral Valve Replacement.

Autor:	Fang GH; Department of Cardiovascular Surgery, , Union Hospital, Fujian Medical University, Fujian Medical University, Fuzhou, China. 757075427@qq.com., Chen JH; Department of Cardiovascular Surgery, , Union Hospital, Fujian Medical University, Fujian Medical University, Fuzhou, China. 695514418@qq.com., Dai XF; Department of Cardiovascular Surgery, , Union Hospital, Fujian Medical University, Fujian Medical University, Fuzhou, China. gzlde0323@msn.com.
Jazyk:	angličtina
Zdroj:	The heart surgery forum [Heart Surg Forum] 2021 Oct 08; Vol. 24 (5), pp. E882-E886. Date of Electronic Publication: 2021 Oct 08.
DOI:	10.1532/hsf.3971
Abstrakt:	Background: To investigate and analyze the learning curve of totally thoracoscopic mitral valve replacement and provide a quantitative reference for cardiac surgeons to carry out the operation step by step. Methods: The clinical data were retrospectively analyzed of 100 consecutive patients with totally thoracoscopic mitral valve replacement successively performed by the same surgeon in a single center from May 2019 to June 2020. The learning curve was divided into 2 stages by using cumulative sum analysis, and relevant surgical parameters and perioperative indicators were analyzed. Results: The first stage of the learning curve is the skill acquisition stage, which includes 1 to 40 surgical procedures. The second stage is the proficiency stage, involving 41 to 100 operations. Among the surgical parameters of the patients in the 2 stages, detectable improvements were observed in operative time, cardiopulmonary bypass time, cross-clamp time, and intraoperative injury. After surgery, the amount of drainage, length of hospital stay, blood creatinine levels, and oxygenation index 24 h after surgery were also significantly different between the 2 groups (all P < .05). The age and sex distributions of the patients were balanced, and there was no statistically significant difference in terms of conversion to median sternotomy between the 2 stages (P > .05). Conclusions: Cumulative sum analysis was used to accurately analyze the learning curve of totally thoracoscopic mitral valve replacement, indicating that 40 cases are needed to master the technique.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu