Skopljanac Macina Andrija, Erdelez Lidija, Sef Davorin, Suknaić Slaven, Hlevnjak Dubravko, Buhin Maida, Gustin Denis
Odjel za vaskularnu kirurgiju, Klinika za kirurgiju Medicinskog fakulteta u Zagrebu, Klinicka bolnica Merkur, Zajceva 19, 10000 Zagreb.
Lijec Vjesn. 2008 Jul-Aug;130(7-8):187-90.
In this study we presented benefits of minimally invasive approach (MIAS) for treating abdominal aortic aneurysm (AAA) and aortoiliac occlusive disease (AIOD). MIAS technique consisted of minilaparotomy approach using incision length of 7-12 cm, intraabdominal small bowel retraction and standard aortic reconstruction with terminoterminal anastomosis or aortobifemoral bypass. Between December 2004 and January 2007 we perfomed 32 repairs for AAA and AIOD using MIAS technique. Mean infrarenal aortic cross clamp time was 48.5 +/- 17 minutes. Duration ofnasogastric suction and period before starting liquid diet was meanly 1.2 +/- 0.5 days. Mean time of stay in intensive care unit was 1.3 +/- 0.6 days, and hospital stay was 7.1 +/- 1.4 days. We had no 30-day mortality rate and there was no wound infection. MIAS technique is a safe method for the treatment of infrarenal AAA and AIOD including smaller wound size, shorter duration of postoperative ileus, intensive care unit stay and hospital stay, and lower hospital costs compared with those of standard way of treatment.
