Left retroperitoneal approach using a retractor to repair abdominal aortic aneurysms: a comparison with the transperitoneal approach

The purpose of this study was to compare the effectiveness of the retroperitoneal approach (RP) using a Thompson retractor with the conventional transperitoneal approach (TP), to repair infrarenal abdominal aortic aneurysms (AAA). A total of 91 consecutive patients were divided into two groups; grou...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 2002-01, Vol.32 (7), p.577-580
Main Authors: Hioki, Masafumi, Iedokoro, Yoshio, Kawamura, Jun, Yamashita, Yasuo, Yoshino, Naoyuki, Orii, Kouan, Masuda, Sakae, Yamashita, Kouji, Tanaka, Shigeo
Format: Article
Language:English
Subjects:
Age Factors
Aged
Aortic Aneurysm, Abdominal - surgery
Elective Surgical Procedures
Female
Humans
Male
Middle Aged
Peritoneum - surgery
Retroperitoneal Space - surgery
Retrospective Studies
Surgical Instruments
Surgical Procedures, Operative - methods
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Summary:The purpose of this study was to compare the effectiveness of the retroperitoneal approach (RP) using a Thompson retractor with the conventional transperitoneal approach (TP), to repair infrarenal abdominal aortic aneurysms (AAA). A total of 91 consecutive patients were divided into two groups; group A ( n = 21) underwent surgery using the TP, and group B ( n = 70) underwent surgery using the RP with a Thompson retractor. There were no significant differences in the operation time, aortic cross-clamp time, incidence of postoperative cardiac events, or the development of wound complications; however, a significantly higher rate of postoperative respiratory complications and ileus was observed in group A. Moreover, oral feeding was commenced later and the hospital stay was prolonged in group A ( P < 0.01). These findings clearly demonstrate that our RP method, especially when using a Thompson retractor, is a preferable alternative to TP for AAA surgery.
ISSN:0941-1291
1436-2813
DOI:10.1007/s005950200104