PDF(Pubmed)
Abstract：
UNASSIGNED: Minimally invasive procedures have been developed to reduce surgical trauma after cardiac surgery. Clinical recovery is the main focus of most research. Still, patient-centred outcomes, such as the quality of life, can provide a more comprehensive understanding of the impact of the surgery on the patient\'s life. This systematic review aims to deliver a detailed summary of all available research investigating the quality of recovery, assessed with quality of life instruments, in adults undergoing minimally invasive cardiac surgery.
UNASSIGNED: All randomised trials, cohort studies, and cross-sectional studies assessing the quality of recovery in patients undergoing minimally invasive cardiac surgery compared to conventional cardiac surgery within the last 20 years were included, and a summary was prepared.
UNASSIGNED: The randomised trial observed an overall improved quality of life after both minimally invasive and conventional surgery. The quality of life improvement in the minimally invasive group showed a faster course and evolved to a higher level than the conventional surgery group. These findings align with the results of prospective cohort studies. In the cross-sectional studies, no significant difference in the quality of life was seen except for one that observed a significantly higher quality of life in the minimally invasive group.
UNASSIGNED: This systematic review indicates that patients may benefit from minimally invasive and conventional cardiac surgery, but patients undergoing minimally invasive cardiac surgery may recover sooner and to a greater extent. However, no firm conclusion could be drawn due to the limited available studies. Therefore, randomised controlled trials are needed.
UNASSIGNED: All randomised trials, cohort studies, and cross-sectional studies assessing the quality of recovery in patients undergoing minimally invasive cardiac surgery compared to conventional cardiac surgery within the last 20 years were included, and a summary was prepared.
UNASSIGNED: The randomised trial observed an overall improved quality of life after both minimally invasive and conventional surgery. The quality of life improvement in the minimally invasive group showed a faster course and evolved to a higher level than the conventional surgery group. These findings align with the results of prospective cohort studies. In the cross-sectional studies, no significant difference in the quality of life was seen except for one that observed a significantly higher quality of life in the minimally invasive group.
UNASSIGNED: This systematic review indicates that patients may benefit from minimally invasive and conventional cardiac surgery, but patients undergoing minimally invasive cardiac surgery may recover sooner and to a greater extent. However, no firm conclusion could be drawn due to the limited available studies. Therefore, randomised controlled trials are needed.
摘要：
■已经开发了微创程序，以减少心脏手术后的手术创伤。临床恢复是大多数研究的主要焦点。尽管如此，以患者为中心的结果，比如生活质量，可以更全面地了解手术对患者生活的影响。本系统综述旨在提供所有现有研究的详细总结，调查回收的质量，用生活质量仪器评估，在接受微创心脏手术的成年人中。
■所有随机试验，队列研究，和横断面研究评估了过去20年中接受微创心脏手术的患者与传统心脏手术相比的恢复质量，并准备了摘要。
该随机试验观察到微创和常规手术后生活质量的总体改善。与传统手术组相比，微创组的生活质量改善显示出更快的过程并发展到更高的水平。这些发现与前瞻性队列研究的结果一致。在横断面研究中，除了在微创组中观察到明显更高的生活质量外,生活质量没有显著差异.
■这项系统评价表明，患者可能会从微创和常规心脏手术中受益，但是接受微创心脏手术的患者可能会更快、更大程度地康复。然而,由于现有研究有限，因此无法得出确切的结论。因此,需要进行随机对照试验.
■所有随机试验，队列研究，和横断面研究评估了过去20年中接受微创心脏手术的患者与传统心脏手术相比的恢复质量，并准备了摘要。
该随机试验观察到微创和常规手术后生活质量的总体改善。与传统手术组相比，微创组的生活质量改善显示出更快的过程并发展到更高的水平。这些发现与前瞻性队列研究的结果一致。在横断面研究中，除了在微创组中观察到明显更高的生活质量外,生活质量没有显著差异.
■这项系统评价表明，患者可能会从微创和常规心脏手术中受益，但是接受微创心脏手术的患者可能会更快、更大程度地康复。然而,由于现有研究有限，因此无法得出确切的结论。因此,需要进行随机对照试验.
