Our experience with left-sided retroperitoneal approach to resection of abdominal aortic aneurysm
Authors:
B. Čertík; V. Třeška; J. Moláček; M. Čechura; R. Šulc; K. Houdek
Authors‘ workplace:
Chirurgická klinika, LF v Plzni, Univerzita Karlova, FN Plzeň
Published in:
Rozhl. Chir., 2018, roč. 97, č. 2, s. 88-93.
Category:
Original articles
Overview
Introduction:
At most vascular surgery departments, transperitoneal approach predominates in resections of the aortic aneurysms. For difficult reconstructions of the aorta in the visceral segment, a left flank retroperitoneal approach is used most frequently.
Method:
The authors retrospectively evaluate the left retroperitoneal approach in the management of abdominal aortic aneurysms during a 10-year period. From the total number of 445 operated patients, the left-sided retroperitoneal approach was used in 23 cases.
Result:
All operated patients survived. Average hospital stay was 10 days in the case of elective operations.
Conclusion:
Based on favorable results, the authors confirm that left-sided retroperitoneal approach is rightly considered as a choice in the technically demanding reconstruction of the aorta in the visceral segment.
Key words:
aortic aneurysm − visceral segment of the aorta − retroperitoneal approach
Sources
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3. Sicard GA, Reilly JM, Rubin BG, et al. Transperitoneal versus retroperitoneal incision for abdominal aortic surgery: report of prospective randomized trial. J Vasc Surg 1995;21:174−81.
4. Wahlgren CM, Piano G, Desai T, et al. Transperitoneal versus retroperitoneal suprarenal cross-clamping for repair of abdominal aortic aneurysm with a hostile infrarenal aortic neck. Ann Vasc Surg 2007;21:687−94.
5. van Lammeren GW, Ünlü Ç, Verschoor S, et al. Results of open pararenal abdominal aortic aneurysm repair: single centre series and pooled analysis of literature. Vascular 2017;25:234−41.
6. Kabbani LS, West CA, Viau D, et al. Survival after repair of pararenal and paravisceral abdominal aortic aneurysms. J Vasc Surg 2014;59:1488−94.
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Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2018 Issue 2
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