%0 Journal Article
%T Anterolateral minithoracotomy versus median sternotomy for the treatment of congenital heart defects: a meta-analysis and systematic review
%A Chao Ding
%A Chunmao Wang
%A Zhonghua Shen
%A Aiqiang Dong
%A Minjian Kong
%A Daming Jiang
%A Kaiyu Tao
%J Journal of Cardiothoracic Surgery
%D 2012
%I BioMed Central
%R 10.1186/1749-8090-7-43
%X 6 case control studies published in English from 1997 to 2011 were identified and synthesized to compare the short-term postoperative outcomes between ALMT and MS. These outcomes were cardiopulmonary bypass time, aortic cross-clamp time, intubation time, intensive care unit stay time, and postoperative hospital stay time.ALMT had significantly longer cardiopulmonary bypass times (8.00£¿min more, 95% CI 0.36 to 15.64£¿min, p£¿=£¿0.04). Some evidence proved that aortic cross-clamp time of ALMT was longer, yet not significantly (2.38£¿min more, 95% CI £¿0.15 to 4.91£¿min, p£¿=£¿0.06). In addition, ALMT had significantly shorter intubation time (1.66£¿hrs less, 95% CI £¿3.05 to £¿0.27£¿hrs, p£¿=£¿0.02). Postoperative hospital stay time was significantly shorter with ALMT (1.52£¿days less, 95% CI £¿2.71 to £¿0.33£¿days, p£¿=£¿0.01). Some evidence suggested a reduction in ICU stay time in the ALMT group. However, this did not prove to be statistically significant (0.88£¿days less, 95% CI £¿0.81 to 0.04£¿days, p£¿=£¿0.08).ALMT can bring more benefits to patients with Congenital Heart Defects by reducing intubation time and postoperative hospital stay time, though ALMT has longer CPB time and aortic cross-clamp time.
%K Minimally invasive surgical procedures
%K Sternotomy
%K Congenital heart defect
%U http://www.cardiothoracicsurgery.org/content/7/1/43/abstract