Alsharif Arwa, Alsharif Abdulaziz, Alshamrani Ghadah, Abu Alsoud Abdulhameed, Abdullah Rowaida, Aljohani Sarah, Alahmadi Hawazen, Fuadah Samratul, Mohammed Atheer, Hassan Fatma E
Department of Medicine and Surgery, Batterjee Medical College, Jeddah 21442, Saudi Arabia.
Department of Medicine and Surgery, Vision College, Jeddah 23643, Saudi Arabia.
Clin Pract. 2024 Sep 10;14(5):1842-1868. doi: 10.3390/clinpract14050147.
Coronary artery bypass grafting (CABG) is an essential operation for patients who have severe coronary artery disease (CAD). Both open and minimally invasive CABG methods are used to treat CAD. This in-depth review looks at the latest research on the effectiveness of open versus minimally invasive CABG. The goal is to develop evidence-based guidelines that will improve surgical outcomes. This systematic review used databases such as PubMed, MEDLINE, and Web of Science for a full electronic search. We adhered to the PRISMA guidelines and registered the results in the PROSPERO. The search method used MeSH phrases and many different study types to find papers. After removing duplicate publications and conducting a screening process, we collaboratively evaluated the full texts to determine their inclusion. We then extracted data, including diagnosis, the total number of patients in the study, clinical recommendations from the studies, surgical complications, angina recurrence, hospital stay duration, and mortality rates. Many studies that investigate open and minimally invasive CABG methods have shown that the type of surgery can have a large effect on how well the patient recovers and how well the surgery works overall. While there are limited data on the possible advantages of minimally invasive CABG, a conclusive comparison with open CABG is still dubious. Additional clinical trials are required to examine a wider spectrum of patient results.
冠状动脉旁路移植术(CABG)是患有严重冠状动脉疾病(CAD)患者的一项重要手术。开放和微创CABG方法均用于治疗CAD。这篇深入综述探讨了开放与微创CABG有效性的最新研究。目标是制定基于证据的指南以改善手术结果。这项系统综述使用了诸如PubMed、MEDLINE和科学网等数据库进行全面电子检索。我们遵循PRISMA指南并将结果在PROSPERO中登记。检索方法使用医学主题词短语和许多不同的研究类型来查找论文。在去除重复出版物并进行筛选过程后,我们共同评估全文以确定其纳入情况。然后我们提取数据,包括诊断、研究中的患者总数、研究中的临床建议、手术并发症、心绞痛复发、住院时间和死亡率。许多研究开放和微创CABG方法的研究表明,手术类型对患者恢复情况以及手术总体效果可能有很大影响。虽然关于微创CABG可能优势的数据有限,但与开放CABG的确定性比较仍不明确。需要更多临床试验来检验更广泛的患者结果。