Jenkner J F, Gerassimidis T
Fortschr Med. 1979 Jun 14;97(22):1055-7.
From 1962 to 1978 1938 reconstructions because of arterial occlusive disease were performed at the Department of Surgery, Städt. Klinikum Karlsruhe. Of these 297 were primary aorto-iliac reconstructions. All latter cases were classified according to morphologic characteristics. The ratio of men to women was 8 : 1, the average age 58,9 years. A comparison of the results in these 227 patients with reconstruction either by endarteriectomy or dacron bypass was made regarding the way of incision. The results show a lower letality of 4,6% when extraperitoneal exposition is used compared to 14,1% when transperitoneal exposition was performed. As there was no difference found in the late results after either method of reconstruction (123 patients were reexamined), extraperitoneal exposition is preferred except in cases with aneurysm and aortic occlusion up to the renal arteries.
1962年至1978年期间，卡尔斯鲁厄市立医院外科进行了1938例因动脉闭塞性疾病而实施的重建手术。其中297例为原发性主-髂动脉重建术。所有后一类病例均根据形态学特征进行分类。男女比例为8:1，平均年龄58.9岁。对这227例行内膜切除术或涤纶旁路移植术重建的患者，就切口方式进行了结果比较。结果显示，采用腹膜外暴露时死亡率为4.6%，而采用经腹暴露时为14.1%。由于两种重建方法后的远期结果没有差异（对123例患者进行了复查），因此除了动脉瘤和肾动脉以上主动脉闭塞的病例外，首选腹膜外暴露。
