title: Abdominal aortic aneurysm treatment: minimally invasive fast-track surgery and endovascular technique.
abstract: In our department we started a program in order to offer a mini-invasive approach to all patients affected by abdominal aortic aneurysms (AAAs), trying to offer this option also to patients not eligible for endovascular aneurysm repair (EVAR) due to unfavorable anatomy, age under 65 years and aorto-iliac occlusive disease, considering nowadays EVAR is the gold-standard for the mini-invasive treatment of AAAs. The aim of this study was to compare endovascular versus fast-track surgical treatment in patients undergoing elective surgery for AAAs. We wanted to verify if it was possible to be totally mini-invasive in the treatment of AAAs. A total of 128 patients were chosen for the study. Ninety-four patients were enrolled in the OPEN group and 34 were enrolled in the EVAR group. This study demonstrates that minimally invasive treatment with the fast-track protocol may be a valid alternative to EVAR.
authors: Department of Surgery, Division of Vascular Surgery, Italy. diegomoniaci@hotmail.com
authors: D
authors: D
authors: Moniaci
authors: P
authors: P
authors: Brustia
authors: A
authors: A
authors: Renghi
authors: F
authors: F
authors: Casella
authors: L
authors: L
authors: De Simeis
authors: G
authors: G
authors: Guzzardi
authors: R
authors: R
authors: Fossaceca
authors: L
authors: L
authors: Gramaglia
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000453:epidemiology* / Q000601:surgery*; D015897:Comorbidity; D017558:Elective Surgical Procedures / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data; D057510:Endovascular Procedures / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology*; D012015:Reference Standards; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome