内窥镜下大隐静脉采集术在冠状动脉搭桥术中的应用

Application of endoscopic saphenous vein harvesting in cornary bypass grafting(CABG)

目的:探讨在冠状动脉搭桥术(CABG)中应用内窥镜小切口采集大隐静脉(SVG)的微创技术和早期临床效果。方法:对26例行冠状动脉搭桥术(CABG)患者,应用内窥镜采集大隐静脉术(endoscopic vein harvesting,EVH)。观察手术情况及术后切口并发症发生率。结果:平均采集时间为(35.6±11.8)min,全组大隐静脉无损伤,术后无下肢切口感染、裂开、液化、疼痛,术后早期下肢的水肿不明显,平均卧床2d,术后平均住院天数6d。结论:内窥镜辅助下微创大隐静脉采集术创伤小,能明显减少术后下肢切口相关并发症。

Objective： To observe the clinical effects of endoscopic great saphenous vein harvesting in coronary artery bypass grafting. Methods： Endoscopic great saphenous vein harvesting was perfermed in 26 patients undergoing coronary artery bypass grafting （CABG）. We observed the operation and the incidence of postoperative legound. Results： The mean endoscopic harvest time was （35.6±11.8） minutes. No complications （incision infection, edema of lower extremity, lymphangitis and fat necrosis） occurred. Stay in bed time was 2 days, stay in hospital time was 6 days. Conclusion： Use of endoscopic vein harvesting in coronary artery bypass grafting decreases the incidence of postoperative leg-wound infections, postoperative pain and length of hospital stay.