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
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
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