Minilaparotomy abdominal aortic aneurysm repair in the era of minimally invasive vascular surgery: preliminary results
| Autor: | Nikolaos S. Tsekouras, Elias Bastounis, Konstantinos P. Economopoulos, Chris Bakoyiannis, Ioanna Skrapari, S. Georgopoulos, Christos Tsigris |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Resuscitation Liquid diet Length of hospitalization Blood Vessel Prosthesis Implantation Risk Factors medicine Humans Minimally Invasive Surgical Procedures Aged Aged 80 and over Laparotomy business.industry General Medicine Middle Aged Vascular surgery Minimal incision medicine.disease Aortic surgery Abdominal aortic aneurysm Surgery Case-Control Studies Anesthesia Open repair Female business Aortic Aneurysm Abdominal |
| Zdroj: | ANZ Journal of Surgery. 79:829-835 |
| ISSN: | 1445-2197 1445-1433 |
| DOI: | 10.1111/j.1445-2197.2009.05111.x |
| Popis: | Background: This study aimed to evaluate the early post-operative clinical impact of minimal incision aortic surgery (MIAS) for infrarenal abdominal aortic aneurysm (AAA) repair in comparison with the standard open repair. Methods: A case-control study was conducted. Patients of groups A (19 patients) and B (18 patients) were treated with the MIAS technique and the standard open method, respectively. Results: There were significant differences between the two groups in fluid resuscitation during the operation. Post-operatively, there were significant differences between groups A and B in the time until starting liquid diet (2 ± 0.74 versus 3.55 ± 0.85 post-operative days (PD), respectively; P < 0.05), the time until starting the solid diet (3.05 ± 0.77 versus 5.11 ± 0.75 PD, respectively; P < 0.05), the time of ambulation (2 ± 0.74 versus 3.4 ± 0.98 PD, respectively; P < 0.05) and in the hospital length of stay (4 ± 0.81 versus 9.7 ± 2.66 days, respectively; P < 0.05). Conclusions: The MIAS technique, for repair of infrarenal aortic aneurysms, is a safe and feasible procedure that combines the early advantages of endovascular repair with the long-term advantages of the traditional open repair. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text