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Operacija anevrizme trebušne aorte skozi minilaparotomijo - uvodni rezultati = Abdominal aortic surgery through minilaparotomy - initial results
Klokočovnik, Tomislav ; Špan, Matjaž
Median laparotomy approach is the gold standard for endoaneurysmoraphy of abdominal aortic aneurysms. Minilaparotomy, a recently introduced technique, allows a visualization of the operative field ...that is comparable to that in median laparotomy, but significantly reduces surgical tissue damage. From June1999 to February 2003, 76 patients with abdominal aortic aneurysm were operated via minilaparotomy. Endoaneurysmoraphy was performed through 8-10 cm long paraumbilical transperitoneal incisions. Minilaparotomy was contraindicated in patients with aneurysms larger than 10 cm in diameter, after previous abdominal surgery, and in obese patients. In 3 patients minilaparotomy had to be enlarged because of bleeding. In 2 cases, the surgical wound became inflamed and there was 1 case of perioperative death. Abdominal aortic surgery through minilaparotomy is safe, effective and esthetically more acceptable than the golden standard, median laparotomy. Endoscopic abdominal aortic surgery is not yet fully established and our results suggest that minilaparotomy has certain advantages that will need to be confirmed by further studies.
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