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Our experience with left-sided retroperitoneal approach to resection of abdominal aortic aneurysm


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

Overview

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


Sources

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4. Wahlgren CM, Piano G, Desai T, et al. Transperitoneal versus retroperitoneal suprarenal cross-clamping for repair of abdominal aortic aneurysm with a hostile infrarenal aortic neck. Ann Vasc Surg 2007;21:687−94.

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Labels
Surgery Orthopaedics Trauma surgery
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