[Minimally invasive and direct approach for aorto-iliac reconstruction].
Using a prospective, randomized trial, the authors compared the minilaparotomy (ML) with the conventional transabdominal approach (CTA) to the aorta for infrarenal aortic reconstruction. After surgery, nasogastric drainage was significantly (p < 0.01) shorter; bowel movement and initiation of alimentation began earlier in the ML group. Both groups of patients showed a significant decrease in vital capacity and forced expiration volume postoperatively, but this depression was significantly higher (p < 0.05) in the CTA group. The ML group also had significantly shorter stays in the intensive care unit and the mean duration of the postoperative hospital stay was also significantly less (p < 0.05).
Weber
G
G
I. Chirurgische Abteilung, Medizinische Universität, Pécs, Ungarn.
Strauss
A L
AL
Jako
G
G
D001012:Aorta, Abdominal / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004724:Endoscopy; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007902:Length of Stay; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications / Q000209:etiology*; D011446:Prospective Studies; D016896:Treatment Outcome; D014741:Video Recording
Minimal-invasiver und direkter Zugang für Aorto-Iliakale Rekonstruktion.