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Outcomes of minimally invasive lung transplantation in a single centre: the routine approach for the future or do we still need clamshell incision?


ABSTRACT:

Objectives

Minimally invasive lung transplantation (MILT) via bilateral anterior thoracotomies has emerged as a novel surgical strategy with potential patient benefits when compared with transverse thoracosternotomy (clamshell incision, CS). The aim of this study is to compare MILT with CS by focusing on operative characteristics, postoperative organ function and support and mid-term clinical outcomes at Harefield Hospital.

Methods

It was a retrospective observational study evaluating all bilateral sequential lung transplants between April 2010 and November 2013.

Results

CS was performed in 124 patients and MILT in 70 patients. Skin-to-skin surgical time was less in the MILT group [285 (265, 339) min] compared with CS [380 (306, 565) min] and MILT-cardiopulmonary bypa

SUBMITTER: Marczin N 

PROVIDER: S-EPMC4892148 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature