[Abdominal aortic surgery. Transperitoneal or retroperitoneal approach?].
During the past five years a retroperitoneal approach was used in 34 patients and the transabdominal route in 49 patients for treatment of abdominal aortosclerosis. Both groups were identical with respect to age, sex and preoperative morbidity. In patients with previous laparotomy the retroperitoneal approach was always chosen. There was no significant difference with regard to postoperative complications. The only significant difference between the two groups after the operation was a trend towards earlier defecation among the patients treated by the retroperitoneal approach. We can not demonstrate any important advantage or disadvantage of the retroperitoneal approach. The transabdominal approach provides an opportunity to examine the abdominal organs for malignancy. We found one asymptomatic gastric cancer. The retroperitoneal approach is particularly suitable in patients who have undergone laparotomy before for expected severe abdominal adhesions.
Wasmuth
H H
HH
Kirurgisk avdeling, Nordland Sentralsykehus.
Røkke
O
O
Abendstein
H
H
Moland
J H
JH
Danielsen
S
S
D000328:Adult; D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D001161:Arteriosclerosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010529:Peritoneal Cavity; D011183:Postoperative Complications; D012187:Retroperitoneal Space
Abdominal aortakirurgi. Transperitoneal eller retroperitoneal tilgang?