Surgical outcomes of above-knee versus full-length endovenous laser ablation for great saphenous vein varicose veins

作者：Yafei Zhang, Xiao Lin, Zihao Wang, Wentao Li, Yuqin Wang, Jing Bian, Yong Liang · 发表于：Journal of Vascular Surgery Venous and Lymphatic Disorders · 年份：2025 · DOI：10.1016/j.jvsv.2025.102342 · 被引用次数：2 · 研究领域：Diagnosis and Treatment of Venous Diseases、Body Contouring and Surgery、Dermatologic Treatments and Research

OBJECTIVE: This study compares the surgical outcomes between endovenous laser ablation of the above-knee great saphenous vein (AK-GSV) and full-length great saphenous vein (FL-GSV) for the treatment of lower limb varicose veins. METHODS: This retrospective study analyzed clinical data from consecutive patients with lower extremity varicose veins treated at a tertiary vascular surgery center between November 2023 and December 2024. Participants were categorized into two groups based on surgical approach: the AK-GSV laser treatment group (n = 134) and the FL-GSV laser closure treatment group (n = 166). The study compared operative time, postoperative pain intensity, improvement in general symptoms, and incidence of saphenous nerve injury between the two groups. RESULTS: AK-GSV laser treatment was associated with shorter surgical duration (60.52 ± 8.26 minutes) compared with the FL- GSV laser treatment (64.01 ± 8.71 minutes; P = .000). Additionally, AK-GSV treatment was associated with milder early postoperative pain, as reflected by lower Visual Analogue Scale (VAS) scores at 1 day (2.82 ± 0.96 vs 3.14 ± 0.83; P = .002) and 3 days (1.57 ± 0.64 vs 1.77 ± 0.67; P =.01) postoperatively. The AK-GSV treatment group exhibited superior short-term outcomes, with significantly larger reductions in the Venous Clinical Severity Score (VCSS) (P = .009) and the Aberdeen Varicose Vein Questionnaire (AVVQ) score (P = .045) during the early postoperative period (within the first 1 month postop...