%0 Journal Article
%T Quality of life in patients undergoing minimally invasive cardiac surgery: a systematic review.
%A Claessens J
%A Rottiers R
%A Vandenbrande J
%A Gruyters I
%A Yilmaz A
%A Kaya A
%A Stessel B
%J Indian J Thorac Cardiovasc Surg
%V 39
%N 4
%D 2023 Jul
%M 37346428
暂无%R 10.1007/s12055-023-01501-y
%X <B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.<BR><B>UNASSIGNED: </B>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.