The result of endoscopic vein harvesting in patients undergoing coronary artery bypass grafting
10.3760/cma.j.issn.1001-4497.2016.08.006
- VernacularTitle:内窥镜采集大隐静脉在冠状动脉旁路移植术中的应用
- Author:
Jun RAN
;
Yunhu SONG
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass grafting;
Endoscopy;
Saphenous vein
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2016;32(8):467-469
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate clinical results of endoscopic vein harvesting(EVH) in patients who underwent coronary artery bypass grafting(CABG).Methods From July 2013 to October 2014,500 patients who underwent isolate CABG in our institution were divided into two groups:EVH group (n =250) and open vein harvesting(OVH) group(n =250).The surgical result and perioperative complications were compared between the two groups.Results The procedures were completed successfully in all the patients in both groups.There was no significant difference existed in the length of the harvested vein and vein injury between the two groups(P ＞ 0.05).Similar results were obtained in the in-hospital mortality.Compared to group OVH,group EVH showed significantly shorter harvesting time,smaller incision,and lower rates of perioperative leg complications (P ＜ 0.01).Group EVH had a less bed staying time after operation and a shorter post-operation hospital stay (P ＜ 0.05).EVH group achieved an improved patient satisfaction and postoperative pain when compared with OVH in CABG(P ＜0.05).Conclusion EVH can provide adequate vein graft for CABG,and also significantly reduce wound related complications when compared with OVH.EVH is recommended for vein harvesting to improve patient satisfaction.
