caa a22 4500 475801776 CHVBK 20180406123739.0 cr unu---uuuuu 170329e20000901xx s 000 0 eng 10.1007/s002680010178 doi (NATIONALLICENCE)springer-10.1007/s002680010178 Benefits of Endoscopic Vein Harvesting [Elektronische Daten] [Bettina Marty, Ludwig Karl von Segesser, Piergiorgio Tozzi, Juan Guzmann, Philippe Frascarolo, Xavier Muller, Daniel Hayoz] The purpose of this study was to evaluate and compare the benefits of endoscopic saphenous vein harvesting (EVH) with the traditional incision technique (TIT) for coronary artery bypass grafting (CABG) in respect to the technical procedure and clinical outcome. In a prospective nonrandomized, case-matched study the greater saphenous vein was harvested for CABG in 22 patients using the endoscopic technique and in 18 patients with the traditional method. Comparisons were made for the operating time, length of incision and vein harvested, graft quality, postoperative complications, and pain assessment. Patient demographics were well matched. EVH required smaller incisions than did the TIT (10.5 ± 6.6 vs. 31.2 ± 7.8 cm, respectively; p < 0.0001). Harvest time and vein quality were comparable in the two groups. Total vein operating time was shorter following the endoscopic technique (60 ± 24 vs. 100 ± 35 minutes, respectively; p < 0.0001). EVH had fewer complications (NS), and postoperative pain was significantly less (p= 0.0034). The major advantages of endoscopic vein harvesting are a significant reduction of postoperative pain and strikingly better cosmetic results. Wound complications seem to be less frequent. Société Internationale de Chirurgie, 2000 Marty Bettina Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut von Segesser Ludwig Karl Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut Tozzi Piergiorgio Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut Guzmann Juan Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut Frascarolo Philippe Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut Muller Xavier Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut Hayoz Daniel Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut World Journal of Surgery Springer-Verlag 24/9(2000-09-01), 1104-1108 0364-2313 24:9<1104 2000 24 268 https://doi.org/10.1007/s002680010178 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002680010178 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Marty Bettina Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut NATIONALLICENCE 700 1- von Segesser Ludwig Karl Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut NATIONALLICENCE 700 1- Tozzi Piergiorgio Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut NATIONALLICENCE 700 1- Guzmann Juan Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut NATIONALLICENCE 700 1- Frascarolo Philippe Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut NATIONALLICENCE 700 1- Muller Xavier Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut NATIONALLICENCE 700 1- Hayoz Daniel Department of Cardiovascular Surgery, University Hospital CHUV, Rue de Bugnon 46, 1011 Lausanne, Switzerland aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/9(2000-09-01), 1104-1108 0364-2313 24:9<1104 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer