Limited Incision through a Retroperitoneal Approach in Abdominal Aortic Surgery
10.4326/jjcvs.32.325
- VernacularTitle:皮膚小切開，腹膜外到達法による腹部大動脈手術の検討
- Author:
Hiroshi Kiyama
;
Takao Imazeki
;
Yoshihito Irie
;
Noriyuki Murai
;
Nobuaki Kaki
;
Shigeyoshi Gon
;
Masahito Saito
;
Souichi Shioguchi
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2003;32(6):325-328
- CountryJapan
- Language:Japanese
-
Abstract:
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±62.9min and 968.5±473.8ml, 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.
