title: Mini-invasive aortic surgery: a 2 year experience.
abstract: The aim of this study was to evaluate a less invasive technique for the exposure of the infrarenal aorta and its impact on the treatment of patients with abdominal aortic aneurysms (AAA). Fortyfour patients with AAA we re prospectively selected f o r minilaparotomy a ortic exposure and repair using asmall periumbilical midline incision, intra-abdominal nondisplaced retraction of the small bowel and conventional hand-sewn vascular anastomosis. Perioperative comparisons with a contemporary group of AAA patients treated with long, open midline incision and extracavitary small bowel retraction were made. There were no significant differences between the minilaparotomy and open surgical control group concerning operating room time, intraoperative and perioperative morbidity or mortality. Significant differences were shown between the two groups regarding intensive care unit stay; the return to a general diet and the length of hospitalization. Minilaparotomy exposure is safe and effective for the treatment of infrarenal AAA. This technique maintains quality outcome while reducing postoperative ileus, hospital stay and resource utilization.
authors.affiliation: University of Parma, Parma, Italy.
authors.forename: Pierfranco
authors.initials: P
authors.lastname: Salcuni
authors.forename: Matteo
authors.initials: M
authors.lastname: Azzarone
authors.forename: Lucla
authors.initials: L
authors.lastname: Biasi
authors.forename: Federico
authors.initials: F
authors.lastname: Mosso
authors.forename: Elisa
authors.initials: E
authors.lastname: Orlandelli
authors.forename: Tiziano
authors.initials: T
authors.lastname: Tecchio
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D007431:Intraoperative Complications; D007813:Laparotomy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome