Minimally invasive mitral valve surgery is associated with excellent resource utilization, cost, and outcomes

Abstract

In a real-world cohort, mini-MVR continues to demonstrate excellent results with a favorable resource utilization profile. Greater surgical and implant costs with mini-MVR are offset by decreased transfusions and ancillary needs leading to equivalent overall hospital cost.

Health-related quality of life following minimally invasive totally endoscopic mitral valve surgery

“…With the desire to reduce the mortality and morbidity rates associated with mitral valve surgery, the minimally invasive techniques have continued to evolve and achieve excellent results. MIMVS has equally good outcomes as well as shorter hospital stays and better resource utilization [26,27].…”

“…The coefficient of rank correlation between the SF-36 subscale scores and the NRS scores P2: The coefficient of rank correlation between the SF-36 subscale scores and the SCAR scale scores Correlation coefficients: 0-0.20 = "week"; 0.21-0.40 = "fair"; 0.41-0.60 = "moderate"; 0.61-0.80 = "strong"; 0.81-1.00 = "strongly correlation" appreciable costs for medical consumables. Consumables such as HTK solution, femoral artery and femoral vena cava cannula were associated with a significant increase in medical costs [26,28].…”

“…Although previous study shows that it can reduce intensive care unit days and postoperative hospital stays, this technique is accompanied by appreciable costs for medical consumables. Consumables such as HTK solution, femoral artery and femoral vena cava cannula were associated with a significant increase in medical costs [ 26 , 28 ].…”

Endoscopic Robotic Mitral Surgery: Looking for a Few Good Surgeons

“…Numerous reports demonstrate excellent efficacy and safety of endoscopic mitral surgery performed by hand using shafted instruments. 25,32,33 Both endoscopic robotic and handheld instrument approaches utilize the same perfusion platforms.…”

“…The application rate for endoscopic mitral surgery by handheld instrument can range from 21% to 66%. 25,32,33 Fortunately, several of the limitation factors of handheld instrument endoscopic mitral surgery can be addressed with robotics. The dynamic endoscope and retractor facilitate exposure as does approaching the valve more laterally.…”