[Surgical treatment of abdominal aortic aneurysms: report of 482 cases].
OBJECTIVE
To improve the safety of abdominal aortic aneurysm (AAA) repair.


METHODS
The experience of 482 cases of AAA in surgical treatment and endovascular graft exclusion were reviewed from January 1960 to March 2001.


RESULTS
Retroperitoneal approach and minimal incision was used for AAA operation. New methods for control of the "neck" of aneurysm, aneurysmectomy and endovascular graft exclusion were applied. The danger of AAA repair obviously decreased. The operative mortality was 5.2% and the five-year survival rate was 74.4%.


CONCLUSIONS
The improvement of surgical and anesthetic techniques made AAA resection rapid and safe.
Chen
F
F
Department of Vascular Surgery, Zhongshan Hospital, Fudan University Medical College, Shanghai 200032, China.
Wang
Y
Y
Fu
W
W
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000401:mortality* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D013504:Cardiovascular Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate; D014463:Ultrasonography