Cardiovascular disease is a life-threatening condition that in severe cases requires surgical intervention to cure and save lives. Conventional surgery is often prohibited due to the huge trauma and risks involved, and most people prefer to endure the long-term suffering of the disease rather than undergo surgery. In recent years, with the advancement of science and technology and the accumulation of medical experience, a variety of cardiovascular diseases (e.g., mitral valve surgery, atrial tumors) can be accomplished through thoracoscopic minimally invasive right thoracic surgery, and the efficacy of the surgery is similar or even better than that of traditional open-heart surgery, so that the concept of minimally invasive has been more and more accepted by a wider range of people. So, what are the benefits of minimally invasive cardiovascular surgery besides small incision? 1, the incision is hidden, strong aesthetics The incision of minimally invasive right thoracic surgery is located in the fourth intercostal space in front of the right chest, which is about 4cm to 8cm in length; the incision can be covered by the underwear after healing, and the incision for females can be made under the edge of the breasts, so that the underwear or even the swimsuits can be covered after the surgery, which is very good in terms of aesthetics. In conventional heart surgery, the incision is located in the middle of the chest, about 20cm long, and the upper end of the incision will be exposed outside the collar of a low-cut dress; and for some patients with scarring, the incision scars may proliferate significantly, resulting in itching and affecting the appearance. Therefore, the minimally invasive incision is ideal for aesthetically pleasing individuals as well as professionals who have very high demands on their appearance. Minimally invasive incision (left) is hidden and beautiful, while conventional incision (right) is difficult to be hidden and unattractive. 2. Minimally invasive surgery has a stable and intact thorax. Minimally invasive right thoracic incision enters into the thoracic cavity from the intercostal space of the right thorax, and all the bones that make up the thorax have not been damaged, and the thoracic contour is intact, so that the exertion of the upper limbs will not be affected after recovery from the surgery. While the conventional open heart surgery when the sternum longitudinal completely sawed, the operation process of the thorax left and right separated; after the end of the operation and then the sternum together, three months after the healing, the integrity of the thorax has been damaged, for some old, diabetic and other special patients in three months after the healing of the sternum may be incomplete, and affect the movement, force, exercise; and even a small portion of the patients (such as diabetic patients, etc.) sternum repeatedly does not heal to develop chronic Osteomyelitis. In this regard, minimally invasive surgery is more suitable for obese, osteoporotic, diabetic patients and manual laborers who need to bear force. 3.Free from metal implantation in the body Conventional heart surgery, after open heart surgery, the sternum is fixed with metal wires or titanium alloy plates until the healing of the sternum, and most of the metal wires or titanium alloy plates will not be taken out and remain in the patient’s body, resulting in the residual metal implantation in the body, which will be inconvenient for the patient to take the transportation or enter into the special occasions to pass the security check, and also lead to the patient not being able to accept the high-field strength of the nuclear magnetic resonance imaging (MRI) examination. MRI (Magnetic Resonance Imaging). On the other hand, right chest minimally invasive surgery patients do not use any metal material for postoperative incision fixation suture, and there is no residual metal implant in the body after recovery, which is even more advantageous for occupational workers with higher requirements for safety inspection. 4. Greatly reduce surgical bleeding and trauma Sternal and periosteal bleeding is an important source of bleeding for patients undergoing conventional open heart surgery, whereas patients undergoing minimally invasive right thoracic surgery do not need to cut open the sternum, which completely avoids the chances of bleeding from the sternum and periosteum, and the minimally invasive surgery has a small incision and less separation of the tissue cuts, which results in less bleeding during and after the surgery. For some special patients (e.g., reoperation for tricuspid valve repair or valve replacement), the amount of bleeding is even more greatly reduced due to the avoidance of anatomical separation of tissue adhesions caused by the first surgery. Comparing right thoracic minimally invasive surgery with conventional open thoracic surgery, the rate of surgical blood transfusion can be reduced by more than 60%, and physicians skilled in minimally invasive techniques can greatly reduce surgical bleeding, the rate of surgical blood transfusion can be reduced by more than 80%, and can even achieve the vast majority of patients free of surgical blood transfusion. Less surgical bleeding combined with less tissue damage results in less trauma to the patient. In this regard, minimally invasive is especially beneficial to patients with bleeding tendency such as thrombocytopenia and cirrhosis, patients with mediastinal sclerosis who have received radiation therapy in the chest, and patients who have undergone reoperation of tricuspid valve. 5.Reduce the damage of multiple organs of the body Cardiac surgery trauma caused by the body’s stress reaction is an important cause of multiple organ damage after surgery, and minimally invasive right thoracic surgery has the advantages of less bleeding, less tissue damage, and thoracic stabilization, which can indirectly reduce the stress reaction, thus achieving a certain degree of protection of the body’s organs. Thus, minimally invasive surgery is more favorable for patients with chronic consumptive failure, such as uremia, elderly patients, malnourished people, and some tumor patients. 6, minimally invasive surgery, fast recovery, cost savings Minimally invasive right thoracic surgery patients with less bleeding, less trauma to the tissues, can be removed as soon as possible to get out of bed to move, fast recovery, the average postoperative 5-7 days can be discharged from the hospital. On average, patients can be discharged from the hospital in 5-7 days after surgery, which is about 2 days less than the hospitalization time of conventional open-heart surgery, and the comprehensive hospitalization cost is basically similar to that of the two. In conclusion, right thoracic minimally invasive cardiovascular surgery can achieve excellent results in terms of aesthetics, fast recovery, and minimal damage under the premise of guaranteeing the surgical effect. It is especially advantageous for cardiac patients with special conditions of cardiovascular disease (including osteoporosis, diabetes, uremia, obesity, thrombocytopenia, advanced age, malnutrition, reoperation, special occupation, etc.).