Minimal Incision with Retroperitoneal Approach for Abdominal Aortic Surgery

概要

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We report our experiences in use of a minimal incision with retroperitoneal approach for treatment of patients with abdominal aortic aneurysm(AAA) and arteriosclerosis obliterans(ASO) in the aortoiliac area. Between January 2000 and March 2002, nineteen consecutive patients with the AAA or ASO underwent operation with a minimal incision technique(<10cm, group M), were compared with 25 patients treated in the same time period with conventional incision(>20cm, group C). There were no significant differences in operation time and cross-clamping time. There was no hospital death in both groups. With the advantages of minimal skin incision, less abdominal muscle dissection, optimal aortic exposure, early resumption of ambulation and shorter hospitalization time, we believe that this technique is a safe and less invasive method for use in abdominal aortic surgery.
日本循環制御医学会の論文