Evaluation of early outcomes of minimally invasive coronary artery bypass surgery through left thoracotomy at Cho Ray Hospital in the period 2022-2024

Van Chien Pham, Thai An Nguyen1, Hoang Dinh Nguyen
1 Cho Ray Hospital

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Abstract

Objectives: This study aimed to evaluate the early outcomes of minimally invasive coronary artery bypass surgery through left thoracotomy (MICS CABG) at Cho Ray Hospital from January 2022 to January 2024. The main objective was to assess the effectiveness, safety, complications, and recovery time in patients post-surgery.


Patients and methods: A retrospective descriptive study was conducted, collecting data from the medical records of 37 patients with coronary artery disease (CAD) who underwent minimally invasive coronary artery bypass surgery through left thoracotomy (MICS CABG). Collected variables included demographic characteristics, clinical features, surgical and postoperative outcomes. Descriptive statistics were used to evaluate complication rates, mortality, and hospital length of stay.


Results: Among the 37 patients, 75.7% were male, with an average age of 64.5 ± 9 years. The average surgery time was 250 ± 93 minutes, and the mean number of bypass grafts was 1.5± 0.4. The postoperative complication rate included seven cases of atelectasis and concurrent pneumonia. There was one case of mortality. The average hospital stay was 11.6± 4.2 days. The results indicated that the surgery was highly effective and safe, with low complication rates and fast recovery time.


Conclusion: Minimally invasive coronary artery bypass surgery through left thoracotomy (MICS CABG) is a safe and effective treatment for patients with coronary artery disease. This method reduces the risk of complications and shortens recovery time compared to traditional surgery. The study demonstrates the potential of this method for treating patients in Vietnam, although further long-term studies are needed to confirm its sustained outcomes.

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