A preliminary experience of retroperitoneal approach by partial resection of the tenth rib for repairing Crawford type Ⅳ thoracoabdominal aortic aneurysm and complex abdominal aortic aneurysm
10.3760/cma.j.cn113855-20230509-00238
- VernacularTitle:经腹膜后第十肋部分切除治疗Crawford Ⅳ型胸腹主动脉瘤及复杂腹主动脉瘤初探
- Author:
Wenxuan XIANG
1
;
Xiaoning SUN
;
Fangda LI
;
Hui ZHANG
;
Lei WANG
;
Rong ZENG
;
Xiao DI
;
Xiaolong LIU
;
Zijian WANG
;
Yuehong ZHENG
Author Information
1. 中国医学科学院北京协和医院血管外科，北京 100730
- Keywords:
Aortic aneurysm,abdominal;
Aortic aneurysm,thoracic;
Surgical procedures,operative;
Retroperitoneal approach
- From:
Chinese Journal of General Surgery
2023;38(7):496-499
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate a surgical approach for partial resection of the tenth rib through a retroperitoneal approach for the exposure of Crawford type IV thoracoabdominal aortic aneurysm and complex abdominal aortic aneurysm from 2014 to 2019.Methods:A retrospective analysis was conducted on clinical data and follow-up results of 7 patients who underwent treatment for Crawford type IV thoracoabdominal aortic aneurysm and complex abdominal aortic aneurysm through partial resection of the tenth rib via a retroperitoneal approach.Results:One case (14.3%) had associated Marfan syndrome, and 5 cases (71.4%) underwent left renal artery reconstruction. None of the patients experienced severe complications such as cardiopulmonary complications or renal failure postoperatively, and there was no statistically significant difference in serum creatinine levels between preoperative and postoperative stages during hospitalization ( P=0.205). Follow-up examinations showed no long-term vascular stenosis. Conclusions:Partial resection of the tenth rib through a retroperitoneal approach can avoid incisions of the pleura and diaphragm. It allows for the exposure of the aorta below the diaphragm and has the ability to treat aortic diseases below the diaphragm with smaller incisions and lower complication risks.
