title: Thoraco-abdominal aorta revascularization through a retroperitoneal approach.
abstract: OBJECTIVE
  To investigate the application of the retroperitoneal approach in aortic surgery.
  
  
  METHODS
  We collected and analyzed data of 7 patients in Macau who presented with aortic diseases from 2007 to 2008 and were treated with aorta repair through retroperitoneal approach. Demographic features as well as intraoperative and postoperative data were analyzed. One case of thoracoabdominal aneurysm and 4 cases of abdominal aneurysm received artificial graft, among which hybrid iliac artery reconstruction with Zenith stent covering the ostium of the left subclavian artery was performed in 2 cases of infrarenal abdominal aneurysm. Aortic-iliac artery bypass was performed in 2 cases of aortoiliac occlusion.
  
  
  RESULTS
  No operative or early postoperative death was observed. No perioperative intestinal adhesion or ureteral obstruction was found. One case reported delayed paraplegia and graft infection as postoperative complications. The complications were partially removed 3 months later after rehabilitation.
  
  
  CONCLUSIONS
  Retroperitoneal approach is a safe and feasible technique, which associated with a low incidence of postoperative pulmonary complications.
authors.affiliation: Department of Vascular Surgery, Chinese Academy of Medical Sciences, Beijing 100730, China. jiefengzhang2008@vip.sina.com
authors.forename: Zheng
authors.initials: Z
authors.lastname: Yue-hong
authors.forename: Yu
authors.initials: Y
authors.lastname: Kun
authors.forename: Zhang
authors.initials: Z
authors.lastname: Jie-feng
authors.forename: Choi
authors.initials: C
authors.lastname: Nim
authors.forename: Deng
authors.initials: D
authors.lastname: Hong-ru
authors.forename: Rui
authors.initials: R
authors.lastname: Furtado
mesh_terms: D000368:Aged; D001011:Aorta / Q000601:surgery*; D006801:Humans; D009204:Myocardial Revascularization / Q000379:methods*; D010529:Peritoneal Cavity; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*