Budtz-Lilly Jacob, Eldrup Nikolaj, Vammen Sten, Laustsen Jesper
Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Aarhus, Denmark
Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Aarhus, Denmark.
Vasc Endovascular Surg. 2014 Jul-Aug;48(5-6):367-71. doi: 10.1177/1538574414539050. Epub 2014 Jun 11.
Success with the neoaortoiliac system (NAIS) bypass has previously been reported. Drawbacks to this procedure include prolonged operative times and significant morbidity. The aim of this study was to evaluate whether a 2-team approach in addition to a consistent anastomosis technique reduces the operative time of the NAIS procedure.
A single-center retrospective review was performed for operations using femoral vein in arterial reconstruction from 2003 to 2012.
A total of 40 patients, 25 men and 15 women, were included for analysis. Median operative time for all operations was 300 minutes (interquartile range). Thirty-day mortality was 7.5% (n = 3). Assisted primary patency at 1 year was 100%.
A 2-surgical team approach can reduce the operative time by up to 50%. This improves the attractiveness of this procedure, particularly when recalling that the treatment is definitive by virtue of its eradication of the source of infection.
此前已有关于新主动脉髂动脉系统（NAIS）旁路手术成功的报道。该手术的缺点包括手术时间延长和显著的发病率。本研究的目的是评估除了一致的吻合技术外，采用双团队方法是否能减少NAIS手术的时间。
对2003年至2012年期间在动脉重建中使用股静脉的手术进行了单中心回顾性研究。
共纳入40例患者，其中男性25例，女性15例进行分析。所有手术的中位手术时间为300分钟（四分位间距）。30天死亡率为7.5%（n = 3）。1年时的辅助原发性通畅率为100%。
双手术团队方法可将手术时间缩短多达50%。这提高了该手术的吸引力，特别是当回想起该治疗因其根除感染源而具有确定性时。
