Davidson B R, Gardham R
Department of Surgery, Chase Farm Hospital, Enfield, London, UK.
Br J Surg. 1992 Jul;79(7):639-40. doi: 10.1002/bjs.1800790713.
The repair of infrarenal abdominal aortic aneurysm by right retroperitoneal dissection using a standard midline transperitoneal incision has previously been described but its clinical application has not been evaluated. Over a 14-year period 144 elective abdominal aortic aneurysm grafts were performed by a single surgical firm. Of these, 11 were carried out by a right retroperitoneal exposure (seven men and four women, aged 63-81 (median 70) years). The indications were to improve access for large juxtarenal aneurysms (n = 6) and because of dense abdominal adhesions (n = 3), horseshoe kidney (n = 1) and retroperitoneal fibrosis (n = 1). In each instance, good proximal control of the aorta was achieved. There were no major operative or postoperative complications and all patients were discharged from hospital (median stay 15 days). Follow-up (median 29 months) has revealed no procedure-related complications.
此前已有关于采用标准正中经腹切口经右腹膜后间隙分离修复肾下腹主动脉瘤的描述，但尚未对其临床应用进行评估。在14年期间，一家外科公司进行了144例择期腹主动脉瘤移植手术。其中，11例采用右腹膜后暴露（7名男性和4名女性，年龄63 - 81岁（中位年龄70岁））。手术指征包括改善大型近肾动脉瘤的显露（n = 6）、因严重腹部粘连（n = 3）、马蹄肾（n = 1）和腹膜后纤维化（n = 1）。在每种情况下，均实现了对主动脉的良好近端控制。无重大手术或术后并发症，所有患者均出院（中位住院时间15天）。随访（中位29个月）未发现与手术相关的并发症。
