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Minilaparotomy abdominal aortic aneurysm repair in the era of minimally invasive vascular surgery: preliminary results
Author(s) -
Bakoyiannis Chris N.,
Tsekouras Nikolaos S.,
Georgopoulos Sotiris E.,
Skrapari Ioanna C.,
Economopoulos Konstantinos P.,
Tsigris Christos,
Bastounis Elias A.
Publication year - 2009
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2009.05111.x
Subject(s) - medicine , abdominal aortic aneurysm , surgery , vascular surgery , aortic aneurysm , abdominal surgery , endovascular aneurysm repair , aneurysm , cardiac surgery
Background: This study aimed to evaluate the early post‐operative clinical impact of minimal incision aortic surgery (MIAS) for infrarenal abdominal aortic aneurysm (AAA) repair in comparison with the standard open repair. Methods: A case‐control study was conducted. Patients of groups A (19 patients) and B (18 patients) were treated with the MIAS technique and the standard open method, respectively. Results: There were significant differences between the two groups in fluid resuscitation during the operation. Post‐operatively, there were significant differences between groups A and B in the time until starting liquid diet (2 ± 0.74 versus 3.55 ± 0.85 post‐operative days (PD), respectively; P < 0.05), the time until starting the solid diet (3.05 ± 0.77 versus 5.11 ± 0.75 PD, respectively; P < 0.05), the time of ambulation (2 ± 0.74 versus 3.4 ± 0.98 PD, respectively; P < 0.05) and in the hospital length of stay (4 ± 0.81 versus 9.7 ± 2.66 days, respectively; P < 0.05). Conclusions: The MIAS technique, for repair of infrarenal aortic aneurysms, is a safe and feasible procedure that combines the early advantages of endovascular repair with the long‐term advantages of the traditional open repair.