Yıl 2014,
Sayı: 4, 260 - 264, 01.12.2014
Öz
Objectives: Endoscopic safenous vein harvesting EVH has been a routine technique in some cardiovascular surgery clinics, especially in U.S.A, and decreases the postoperative morbidity, resulting in increased patient satisfaction. Patients and Methods: 55 patients that had undergone EVH procedure with closed, carbondioxide insufflated endoscopic system The VasoViewTM System, Maquet during first time isolated coronary artery bypass grafting surgery, in Acıbadem Maslak and Kadikoy Hospitals between October 2012 and March 2013 were evaluated. Safenous vein grafts’ SVG length, total harvesting times, postoperative pain scores, complications as well as hematoma and surgery site enfections were recorded. Results: All SVGs were harvested endoscopically, there was no need for conversion to open technique. In 2 patients’ SVGs, local dissected segments were noticed but the rest of the SVGs could be used. Conclusion: We suggest that EVH, especially after the learning curve is completed, is a better method than open technique in SVG harvesting as it decreases the postoperative mortality while increasing the patient satisfaction.
Anahtar Kelimeler
Kaynakça
- 1. Lavee J, Schneiderman J, Yorav S, Shewach-Millet M, Adar R. Complications of saphenous vein harvesting following coronary artery bypass surgery. J Cardiovasc Surg 1989;30:989-91.
- 2. Utley JR, Thomason ME, Wallace DJ, Mutch DW, Staton L, Brown V, et al. Preoperative correlates of impaired wound healing after saphenous vein excision. J Thorac Cardiovasc Surg 1989;98:147-9.
- 3. DeLaria GA, Hunter JA, Goldin MD, Serry C, Javid H, Najafi H. Leg wound complications associated with coronary revascularization. J Thorac Cardiovasc Surg 1981;81:403-7.
- 4. Aziz O, Athanasiou T, Darzi A. Minimally invasive conduit harvesting: a systematic review. Eur J Cardiothorac Surg 2006;29:324-33.
- 5. Allen KB, Griffith GL, Heimansohn DA, Robison RJ,Matheny RG, Schier JJ, et al. Endoscopic versus traditional saphenous vein harvesting: a prospective, randomized trial. Ann Thorac Surg 1998;66:26-31.
- 6. Cable DG, Dearani JA. Endoscopic saphenous vein harvesting: minimally invasive video-assisted saphenectomy. Ann Thorac Surg 1997;64:1183-5.
- 7. Davis Z, Jacobs HK, Zhang M, Thomas C, Castellanos Y. Endoscopic vein harvest for coronary artery bypass grafting: technique and outcomes. J Thorac Cardiovasc Surg 1998;116: 228-35
- 8. Wipke-Trevis DD, Stotts NA, Skov P, Carrieri-Kohlman V. Frequency, manifestations and correlates of impaired wound healing of saphenous vein harvesting incisions. Heart, Lung 1996;25:108-116.
- 9. Patel AN, Hebeler RF, Hamman BL, et al. Prospective analysis of endoscopic vein harvesting. Am J Surg 2001;182:716–9.
- 10. Bitondo JM, Daggett WM, Torchiana DF, et al. Endoscopic versus open saphenous vein harvest: a comparison of postoperative wound complications. Ann Thorac Surg 2002;73:523–8.
- 11. Chin Dan M. Meyer, Thomas E. Rogers, Michael E. Jessen, Aaron S. Estrera and Albert K. Histologic evidence of the safety of endoscopic saphenous vein graft preparation Ann Thorac Surg 2000;70:487-491
- 12. Pagni S, Ulfe EA, Montgomery WD, VanHimbergen DJ,Fisher DJ, Gray LA Jr, et al. Clinical experience with thevideo-assisted saphenectomy procedure for coronary bypass operations. Ann Thorac Surg 1998;66:1626-31.
- 13. Carpino PA, Khabbaz KR, Bojar RM, Rastegar H, WarnerKG, Murphy RE, et al. Clinical benefits of endoscopic veinharvesting in patients with risk factors for saphenectomy wound infections undergoing coronary artery bypass grafting. J Thorac Cardiovasc Surg 2000;119:69-75.
- 14. Endoscopic saphenous vein harvesting: results of our initial experience Muhammed Tamim, Aly Al-Sanei, Emad Bukhari, Charles Canver Turkish J Thorac Cardiovasc Surg 2008;16:162-166
- 15. Athanasiou T, Aziz O, Al-Ruzzeh S et al. Are wound healing disturbances and length of hospital stay reduced with minimally invasive vein harvest? A meta-analysis. Eur. J. Cardiothorac. Surg. 2004;26:1015–1026.
- 16. Athanasiou T, Aziz O, Skapinakis P et al. Leg wound infection after coronary artery bypass grafting: a meta-analysis comparing minimally invasive versus conventional vein harvesting. Ann. Thorac. Surg 2003;76:2141–2146
- 17. Lopes RD, Hafley GE, Allen KB, et al. Endoscopic versus open veingraft harvesting in coronary-artery bypass surgery. N Engl J Med 2009;361:235e44.
- 18. Jörg Kempfert, Ardawan Rastan, Sergey Leontyev, Martin Luduena, Arnaud Van Linden, Mani Arsalan, Johannes Blumenstein, David Holzhey, Sven Lehmann, Friedrich W Mohr1 and Thomas Walther Current perspectives in endoscopic vessel harvesting for coronary artery bypass grafting Expert Rev. Cardiovasc. Ther 2011;9:1481–1488
- 19. Black EA, Campbell RK, Channon KM, Ratnatunga C, Pillai R. Minimally invasive vein harvesting significantly reduces pain and wound morbidity. Eur J Cardiothorac Surg 2002;22:381-6.
- 20. Z. Davis, H. Kurt Jacobs, Mark Zhang, Celia Thomas and Yolanda Castellanos Endoscopic vein harvest for coronary artery bypass grafting: technique and outcomes J Thorac Cardiovasc Surg 1998;116:228-235
- 21. Minimally Invasive Saphenous Vein Harvesting Rohinton J. Morris, Michael T. Butler, and Louis E. Samuels Ann Thorac Surg 1998;66:1026–8)
- 22. Muhammed Tamim, Aly Al-Sanei, Emad Bukhari, Charles Canver. Endoscopic saphenous vein harvesting: results of our initial experience Turkish J Thorac Cardiovasc Surg 2008;16:162-166
- 23. Maseeha S. Khaleel, MD, Tracy A. Dorheim, MD, Michael J. Duryee, MS, Harold E. Durbin, Jr, PA-C, Walter D. Bussey, PA-C, Robert P. Garvin, BA, Lynell W. Klassen, MD, Geoffrey M. Thiele, PhD, and Daniel R. Anderson, MD, PhD High-Pressure Distention of the Saphenous Vein During Preparation Results in Increased Markers of Inflammation: A Potential Mechanism for Graft Failure Ann Thorac Surg 2012;93:552-8
- 24. Dan M. Meyer, MD, Thomas E. Rogers, MD, Michael E. Jessen, MD, Aaron S. Estrera, MD, and Albert K. Chin, MD Histologic Evidence of the Safety of Endoscopic Saphenous Vein Graft Preparation Ann Thorac Surg 2000;70:487-491
Yıl 2014,
Sayı: 4, 260 - 264, 01.12.2014
Öz
Amaç: Endoskopik safen ven grefti hazırlanması EVH son yıllarda, bazı kliniklerde rutin olarak kullanılmakta olan ve postoperatif dönemde morbiditeyi azaltıp hasta memnuniyetini arttıran bir cerrahi tekniktir. Hastalar ve Yöntemler: Acıbadem Maslak ve Acıbadem Kadıköy Hastaneleri’nde Ekim 2012 ile Mart 2013 tarihleri arasında safen ven greftleri SVG ; kapalı, karbondioksit insuflasyonu kullanılarak endoskopik yöntem ile The VasoViewTM System, Maquet hazırlanan 55 vaka incelendi. Hastaların endoskopik teknikle hazırlanan SVG’lerinin uzunlukları, toplam SVG hazırlanma süresi, postoperatif ağrı skorları, hematom-yara yeri enfeksiyonu gibi lokal bulguları ve gelişen diğer komplikasyonlar kaydedildi. Bulgular: Tüm hastalarda SVG, EVH yöntemi ile hazırlandı, açık tekniğe geçiş olmadı. 2 hastada hazırlanan SVG’lerde gözlenen lokal disseksiyon alanları nedeni ile kısmi olarak kullanılamayan segmentler saptandı. Sonuç: Özellikle EVH tekniğini öğrenme sürecinin tamamlanmasının ardından EVHnin hem hastanın kozmetik memnuniyeti açısından hem de postoperatif morbiditeyi azaltması açısından başarılı olacağını düşünmekteyiz.
Anahtar Kelimeler
Kaynakça
- 1. Lavee J, Schneiderman J, Yorav S, Shewach-Millet M, Adar R. Complications of saphenous vein harvesting following coronary artery bypass surgery. J Cardiovasc Surg 1989;30:989-91.
- 2. Utley JR, Thomason ME, Wallace DJ, Mutch DW, Staton L, Brown V, et al. Preoperative correlates of impaired wound healing after saphenous vein excision. J Thorac Cardiovasc Surg 1989;98:147-9.
- 3. DeLaria GA, Hunter JA, Goldin MD, Serry C, Javid H, Najafi H. Leg wound complications associated with coronary revascularization. J Thorac Cardiovasc Surg 1981;81:403-7.
- 4. Aziz O, Athanasiou T, Darzi A. Minimally invasive conduit harvesting: a systematic review. Eur J Cardiothorac Surg 2006;29:324-33.
- 5. Allen KB, Griffith GL, Heimansohn DA, Robison RJ,Matheny RG, Schier JJ, et al. Endoscopic versus traditional saphenous vein harvesting: a prospective, randomized trial. Ann Thorac Surg 1998;66:26-31.
- 6. Cable DG, Dearani JA. Endoscopic saphenous vein harvesting: minimally invasive video-assisted saphenectomy. Ann Thorac Surg 1997;64:1183-5.
- 7. Davis Z, Jacobs HK, Zhang M, Thomas C, Castellanos Y. Endoscopic vein harvest for coronary artery bypass grafting: technique and outcomes. J Thorac Cardiovasc Surg 1998;116: 228-35
- 8. Wipke-Trevis DD, Stotts NA, Skov P, Carrieri-Kohlman V. Frequency, manifestations and correlates of impaired wound healing of saphenous vein harvesting incisions. Heart, Lung 1996;25:108-116.
- 9. Patel AN, Hebeler RF, Hamman BL, et al. Prospective analysis of endoscopic vein harvesting. Am J Surg 2001;182:716–9.
- 10. Bitondo JM, Daggett WM, Torchiana DF, et al. Endoscopic versus open saphenous vein harvest: a comparison of postoperative wound complications. Ann Thorac Surg 2002;73:523–8.
- 11. Chin Dan M. Meyer, Thomas E. Rogers, Michael E. Jessen, Aaron S. Estrera and Albert K. Histologic evidence of the safety of endoscopic saphenous vein graft preparation Ann Thorac Surg 2000;70:487-491
- 12. Pagni S, Ulfe EA, Montgomery WD, VanHimbergen DJ,Fisher DJ, Gray LA Jr, et al. Clinical experience with thevideo-assisted saphenectomy procedure for coronary bypass operations. Ann Thorac Surg 1998;66:1626-31.
- 13. Carpino PA, Khabbaz KR, Bojar RM, Rastegar H, WarnerKG, Murphy RE, et al. Clinical benefits of endoscopic veinharvesting in patients with risk factors for saphenectomy wound infections undergoing coronary artery bypass grafting. J Thorac Cardiovasc Surg 2000;119:69-75.
- 14. Endoscopic saphenous vein harvesting: results of our initial experience Muhammed Tamim, Aly Al-Sanei, Emad Bukhari, Charles Canver Turkish J Thorac Cardiovasc Surg 2008;16:162-166
- 15. Athanasiou T, Aziz O, Al-Ruzzeh S et al. Are wound healing disturbances and length of hospital stay reduced with minimally invasive vein harvest? A meta-analysis. Eur. J. Cardiothorac. Surg. 2004;26:1015–1026.
- 16. Athanasiou T, Aziz O, Skapinakis P et al. Leg wound infection after coronary artery bypass grafting: a meta-analysis comparing minimally invasive versus conventional vein harvesting. Ann. Thorac. Surg 2003;76:2141–2146
- 17. Lopes RD, Hafley GE, Allen KB, et al. Endoscopic versus open veingraft harvesting in coronary-artery bypass surgery. N Engl J Med 2009;361:235e44.
- 18. Jörg Kempfert, Ardawan Rastan, Sergey Leontyev, Martin Luduena, Arnaud Van Linden, Mani Arsalan, Johannes Blumenstein, David Holzhey, Sven Lehmann, Friedrich W Mohr1 and Thomas Walther Current perspectives in endoscopic vessel harvesting for coronary artery bypass grafting Expert Rev. Cardiovasc. Ther 2011;9:1481–1488
- 19. Black EA, Campbell RK, Channon KM, Ratnatunga C, Pillai R. Minimally invasive vein harvesting significantly reduces pain and wound morbidity. Eur J Cardiothorac Surg 2002;22:381-6.
- 20. Z. Davis, H. Kurt Jacobs, Mark Zhang, Celia Thomas and Yolanda Castellanos Endoscopic vein harvest for coronary artery bypass grafting: technique and outcomes J Thorac Cardiovasc Surg 1998;116:228-235
- 21. Minimally Invasive Saphenous Vein Harvesting Rohinton J. Morris, Michael T. Butler, and Louis E. Samuels Ann Thorac Surg 1998;66:1026–8)
- 22. Muhammed Tamim, Aly Al-Sanei, Emad Bukhari, Charles Canver. Endoscopic saphenous vein harvesting: results of our initial experience Turkish J Thorac Cardiovasc Surg 2008;16:162-166
- 23. Maseeha S. Khaleel, MD, Tracy A. Dorheim, MD, Michael J. Duryee, MS, Harold E. Durbin, Jr, PA-C, Walter D. Bussey, PA-C, Robert P. Garvin, BA, Lynell W. Klassen, MD, Geoffrey M. Thiele, PhD, and Daniel R. Anderson, MD, PhD High-Pressure Distention of the Saphenous Vein During Preparation Results in Increased Markers of Inflammation: A Potential Mechanism for Graft Failure Ann Thorac Surg 2012;93:552-8
- 24. Dan M. Meyer, MD, Thomas E. Rogers, MD, Michael E. Jessen, MD, Aaron S. Estrera, MD, and Albert K. Chin, MD Histologic Evidence of the Safety of Endoscopic Saphenous Vein Graft Preparation Ann Thorac Surg 2000;70:487-491
Toplam 24 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Research Article |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Aralık 2014 |
| Yayımlandığı Sayı | Yıl 2014Sayı: 4 |