Journal «Angiology and Vascular Surgery» • 

2008 • VOLUME 14 • №2

SURGICAL CORRECTION OF INFRARENAL ABDOMINAL AORTA ANEURYSMS

Khamitov F.F., Matochkin E.A., Vertkina N.V., Kizyma A.G., Lisitzky D.A.
Urban Clinical Hospital № 81,
Moscow, Russia

The authors compare various surgical strategies of infrarenal abdominal aorta aneurysm (IAAA) repair based on the experience of the Department of Cardiovascular Surgery, Urban Clinical Hospital №81. Total 198 patients underwent aneurysm resection and grafting through conventional (90) or minilaparotomy (108) approaches. Miniapproach was shown to improve significantly both perioperative course and outcomes of IAAA correction. The main advantage of this approach comprised limited invasiveness together with sufficient exposure of abdominal aorta and its branches. Abandoning small bowel evisceration helps to preserve thermoregulation and achieve volemic homeostasis with less fluid volume. Postoperative period after surgical miniapproach was characterized by shorter period of mechanical ventilation and ICU stay, earlier restoration of bowel motility, conversion to usual nutrition, patient mobilization and discharge. Minima lly invasive technology significantly broadens feasibility of radical aortic reconstructions for patients with serious cardiovascular comorbidities.

KEY WORDS: abdominal aorta aneurysm, minilaparotomy, miniapproach.

P. 114

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