title: Comparison of transperitoneal and retroperitoneal approach in aorto iliac occlusive disease.
abstract: BACKGROUND
  Despite the fact that the transperitoneal approach (TP) is most widely accepted approach to the aortic surgery because it is simple, fast, and provides good exposure of the abdominal cavity and vascular structures, lately have been increasingly advocated as an alternative retroperitoneal (RP) approach in order to avoid entering peritoneal sac, achieving lower physiological trauma and faster establishment of gastrointestinal function.
  
  
  OBJECTIVE
  The aim of this study was to compare the basic peri and postoperative results of TP and RP approaches in the surgical treatment of AIOD.
  
  
  METHODS
  The study included 114 patients with aortoiliac occlusive disease (AIOD) that underwent surgical treatment at the Department of Vascular Surgery, Clinical Center University of Sarajevo from January 2010 until December 2012 year. In view of the surgical technique used subjects were divided into two groups. Group A consisted of 57 patients on who had been used RP approach, and group B 57 subjects with TP used approach.
  
  
  RESULTS
  In patients from group A were observed significantly lower values: the length of operation (201.66 +/- 43.9 minute vs. 267.36 +/- 47.57 min, p < 0.001), amount of postoperative drainage (56.14 +/- 55.5 ml versus 130.71 +/- 92.34 ml, p < 0.001), length of stay in the intensive care unit (ICU) (1.10 +/- 0.36 days versus 2.46 +/- 1.25 days, p < 0.001), time required for the restoration of gastrointestinal motility (4.38 +/- 5.59 versus 1.05 days +/- 1.19 days, p < 0.001), length of hospitalization (9.26 +/- 1, 95 +/- 11 days versus 1.96 days, p < 0.001), costs of hospitalization (2394.98 +/- BAM 346.67 versus 2933.72 +/- 428.10 BAM, p < 0.001). Analysis of the incidence of postoperative complications (8 vs. 7 complication complications, p > 0.05) and mortality (3 versus 3, p > 0.05) showed no statistically significant difference between the analyzed groups.
  
  
  CONCLUSIONS
  RP approach in vascular reconstructive surgery in AIOD offers better postoperative results when compared to TP approach.
authors: Department for Vascular Surgery, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina. djedovicm@hotmail.com
authors: Muhamed
authors: M
authors: Djedovic
authors: Department for Vascular Surgery, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors: Nedzad
authors: N
authors: Rustempasic
authors: BH Heart Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors: Samed
authors: S
authors: Djedovic
authors: Department for Vascular Surgery, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors: Dragan
authors: D
authors: Totic
authors: Department for Vascular Surgery, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors: Sid
authors: S
authors: Solakovic
authors: BH Heart Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors: Emir
authors: E
authors: Mujanovic
authors: Department for Vascular Surgery, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors: Aslani
authors: A
authors: Ilijas
authors: Department for Vascular Surgery, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors: Haris
authors: H
authors: Vukas
authors: Department for Vascular Surgery, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors: Alma
authors: A
authors: Krvavac
authors: Department for Vascular Surgery, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors: Dzejra
authors: D
authors: Rudelija
authors: Department for Vascular Surgery, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors: Alen
authors: A
authors: Ahmetasevic
mesh_terms: D001011:Aorta / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000191:economics / Q000601:surgery*; D016063:Blood Loss, Surgical; D003422:Critical Care; D005769:Gastrointestinal Motility; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007902:Length of Stay; D061646:Operative Time; D010537:Peritoneum / Q000601:surgery; D012187:Retroperitoneal Space / Q000601:surgery