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首页> 外文期刊>Journal of cardiac surgery. >Endoscopic saphenous vein harvest decreases leg wound complication in coronary artery bypass grafting patients.
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Endoscopic saphenous vein harvest decreases leg wound complication in coronary artery bypass grafting patients.

机译：内窥镜下大隐静脉的收集减少了冠状动脉旁路移植患者的腿部伤口并发症。

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摘要

BACKGROUND: Coronary artery bypass grafting (CABG) is the most common procedure performed in adult cardiovascular surgery. The most frequently used conduit is the greater saphenous vein. Using traditional methods, the complication rate of the leg is relatively high (up to 24%). To decrease the complication rate, we used the Endo-Path to harvest the greater saphenous vein. METHODS AND RESULTS: From May 1997 through March 1999, a total of 135 patients received the CABG operation. We excluded the patients who died immediately postoperatively or had concomitant surgical procedures. Sixty patients received the endoscopic saphenous vein harvest procedure (group A), while another 59 patients (group B) did not. No important differences were noted between the two groups in respect to the number of distal anastomoses, length of harvested vein, total surgical time, and length of ICU stay. However, the leg wound complication rate decreased from 20.3% to 5.0% (p < 0.001). CONCLUSIONS: Although the long-term patency rate needs time to be proven, the endoscopic greater saphenous vein harvest method is an attractive and effective method.
机译：背景：冠状动脉搭桥术（CABG）是成人心血管外科手术中最常见的手术。最常用的导管是大隐静脉。使用传统方法，腿的并发症发生率相对较高（高达24％）。为了降低并发症发生率，我们使用Endo-Path来收集大隐静脉。方法和结果：从1997年5月至1999年3月，共有135例患者接受了CABG手术。我们排除了术后立即死亡或伴有外科手术的患者。 60例患者接受了内镜下大隐静脉摘除术（A组），而另外59例患者（B组）未接受。两组之间在远端吻合术的数量，静脉的采集长度，总手术时间和重症监护病房住院时间方面没有发现重要差异。但是，腿部伤口并发症的发生率从20.3％降低至5.0％（p <0.001）。结论：尽管长期通畅率需要时间来证明，但内窥镜大隐静脉摘除术是一种有吸引力且有效的方法。

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