A Meta-analysis for Endoscopic Vessel Harvesting in Great Saphenous Vein in Coronary Artery Bypass Grafting
10.3969/j.issn.1009-6604.2014.12.021
- VernacularTitle:冠状动脉旁路移植术中内镜获取大隐静脉疗效的meta分析
- Author:
Junhong LI
- Publication Type:Journal Article
- Keywords:
Endoscope;
Great saphenous vein;
Coronary artery bypass grafting
- From:
Chinese Journal of Minimally Invasive Surgery
2014;(12):1135-1139,1143
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review systemically the safety of endoscopic vessel harvesting ( EVH ) in coronary artery bypass grafting (CABG). Methods By searching documentations in the Cochrane Library , Pubmed, Medline,EMbase, CBM, CNKI, Wanfang database , and Weipu database , with no limits for language , a random-controlled meta-analysis was assembled for evaluating the safety of EVH of great saphenous veins in CABG .The retrieval deadline of these databases was September 2013.Two evaluators were in charge of selecting , extracting , and assessing the quality of methodology in all these articles according to extract criterion independently.The RevMan 5.2 was used for meta-analyse. Results The whole test included 12 RCTs and 1510 patients, comprising of 857 patients with EVH and 653 patients with traditional harvesting .As compared with traditional group , the EVH group showed lower rate of postoperative incision infection [OR=0.24, 95%CI:0.16-0.36, P<0.0001], less postoperative pain [OR=-1.06, 95%CI:-1.26--0.86, P<0.0001], and less postoperative complications [OR=0.28, 95% CI:0.19-0.42, P<0.0001].There were no significant differences between the two groups in hospital stay [WMD=0.17, 95%CI:-0.22-0.56, P=0.40] and mortality [OR=0.88, 95% CI:0.30 -2.64, P=0.82]. Conclusion EVH factually reduces trauma in CABG, postoperative infection rate , postoperative pain , postoperative complications , and hospital stay ,being applicable for high risk patients .
