Minimal-invasiver und direkter Zugang für Aorto-Iliakale Rekonstruktion
Minimally Invasive and Direct Approach Surgery for Aortoiliac Reconstruction
Using a prospctive, randomized trial, the authors compared the minilaparo-tomy (ML) with the conventional transabdominal approach (CTA) to the aorta for infra-renal aortic reconstruction.
After surgery, nasogastric drainage was significantly (p<0.01) shorter; bowel movement and initiation of alimentation began earlier in the ML group. Both groups of patients showed a significant decrease in vital capacity and forced expiration volume postoperatively, but this depression was significantly higher (p<0.05) in the CTA group. The ML group also had significantly shorter stays in the intensive care unit and the mean duration of the postoperative hospital stay was also significantly less (p<0.05).
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