| Limited Incision through a Retroperitoneal
Approach in Abdominal Aortic Surgery |
(Department of Cardiovascular Surgery, Dokkyo University
Koshigaya Hospital, Koshigaya, Japan and Department of Cardiovascular
Surgery, Sayama Hospital*, Sayama, Japan)
| Hiroshi Kiyama* |
Takao Imazeki |
Yoshihito Irie |
| Noriyuki Murai |
Nobuaki Kaki |
Shigeyoshi Gon |
| Masahito Saito |
Souichi Shioguchi |
|
|
To reduce surgical invasion, we
recently used a limited incision through a retroperitoneal approach
in the abdominal aortic surgery. Between May 2001 and March 2002,
18 patients who had infrarenal aortic aneurysm, iliac aneurysm,
or aortoiliac occlusive disease were surgically treated using
a new approach at Dokkyo University Koshigaya Hospital. Although
1 patient with a short aortic neck had to be converted to conventional
surgical incision, the remaining 17 patients were successfully
treated with the limited incision (range, 6 -10cm). Operative
time and intraoperative blood loss were 275.2±62.9 min and 968.5±473.8
ml, respectively. None of these patients required homologous
blood transfusion in the perioperative period. All patients were
extubated in the operation room. Oral feeding and mobilization
started on day 1.6±0.5 and 1.4±0.9, respectively. Furthermore,
all patients were discharged home without serious complications
such as postoperative ileus and perioperative death. These results
show that the limited incision through a retroperitoneal approach
is safe and effective in the abdominal aortic surgery. This technique
maintains quality outcome while reducing surgical invasion.
Jpn. J. Cardiovasc. Surg. 32: 325 -328 (2003) |
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