采用替代牵开方法的非体外循环冠状动脉搭桥手术：单中心经验
OPCAB surgery with an alternative retraction method: a single-centre experience.
作者信息
Cetin Erdem, Can Tolga, Unal Celal Selcuk, Keskin Aydin, Kubat Emre
机构信息
Department of Cardiovascular Surgery, Karabuk University Training and Research Hospital, Karabuk, Turkey.
Department of Cardiovascular Surgery, Gülhane Training and Research Hospital, Ankara, Turkey.
出版信息
Cardiovasc J Afr. 2020;31(1):16-20. doi: 10.5830/CVJA-2019-038. Epub 2019 Jul 15.
BACKGROUND
The off-pump coronary artery bypass (OPCAB) technique, which is used in order to avoid the side effects of cardiopulmonary bypass, is often questioned in terms of its efficacy and safety. Also, in this technique, surgeon experience plays a very important role. In this study, we share the results of our 606 OPCAB cases with an alternative retraction technique.
METHODS
This study was a retrospective analysis of OPCAB operations performed between January 2014 and December 2018. Patients were evaluated and operated on by a surgical team led by an experienced OPCAB surgeon with over 200 prior OPCAB surgeries.
RESULTS
The study included 606 OPCAB cases, and 21.8% (132) were female and 78.2% (474) were male. Our mortality rate was 1.7% (n = 10) and only two patients suffered a cerebrovascular incident. A statistically significant difference was found between pre-operative and six-month postoperative left ventricular ejection fraction values (p < 0.01).
CONCLUSION
The OPCAB technique can be performed with similar results to on-pump surgery when conducted by an experienced surgeon, as in our study.
背景
非体外循环冠状动脉搭桥术（OPCAB）旨在避免体外循环的副作用，但其有效性和安全性常受到质疑。此外，在该技术中，外科医生的经验起着非常重要的作用。在本研究中，我们分享了采用一种替代牵开技术的606例OPCAB手术的结果。
方法
本研究是对2014年1月至2018年12月期间进行的OPCAB手术的回顾性分析。患者由一个由经验丰富的OPCAB外科医生领导的手术团队进行评估和手术，该外科医生此前已进行过200多例OPCAB手术。
结果
该研究包括606例OPCAB病例，其中女性占21.8%（132例），男性占78.2%（474例）。我们的死亡率为1.7%（n = 10），只有两名患者发生脑血管事件。术前和术后六个月的左心室射血分数值之间存在统计学显著差异（p < 0.01）。
结论
如我们的研究所示，由经验丰富的外科医生进行OPCAB技术时，其结果可与体外循环手术相似。
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