Mahmood Daniyal, Rosati Fabrizio, Petsikas Dimitri, Payne Darrin, Torkan Lawrence, Bisleri Gianluigi
Division of Cardiac Surgery, Queen's University and Kingston Health Sciences Centre 99 University Ave, Kingston, ON K7L 3N6.
Division of Cardiac Surgery, Department of Surgery, Queen's University, Kingston Health Sciences Centre, Kingston, Ontario, Canada.
Multimed Man Cardiothorac Surg. 2019 Apr 9;2019. doi: 10.1510/mmcts.2019.009.
Endoscopic saphenous vein harvesting is considered a safe and effective approach for graft procurement during coronary artery bypass graft surgery. As an alternative to open techniques, minimally invasive approaches are associated with superior outcomes in terms of morbidity and patients' discomfort, without affecting graft quality, patency rate, and long-term outcomes. Both sealed and non-sealed systems are available for endoscopic conduit harvesting. Sealed systems require carbon dioxide gas insufflation, which may have a damaging impact on the endothelium. Non-sealed systems do not require carbon dioxide insufflation and thus avoid the potential drawbacks of its use. In this video tutorial, we provide a thorough description of the surgical technique for endoscopic saphenous vein harvesting using a non-sealed approach.
在冠状动脉搭桥手术中，内镜下大隐静脉采集被认为是一种安全有效的移植物获取方法。作为开放技术的替代方法，微创方法在发病率和患者不适方面具有更好的结果，且不影响移植物质量、通畅率和长期结果。密封和非密封系统均可用于内镜下管道采集。密封系统需要二氧化碳气体注入，这可能对内皮产生损害作用。非密封系统不需要二氧化碳注入，因此避免了其使用的潜在缺点。在本视频教程中，我们将详细描述使用非密封方法进行内镜下大隐静脉采集的手术技术。
