Franke S
Chirurgische Universitätsklinik, Würzburg.
Zentralbl Chir. 1991;116(10):623-6.
Between 1980 and 1989, 2395 reconstructive operations were performed for peripheral arterial occlusive disease on vessels above the aortic arch and below diaphragm. 543 (22.6%) procedures of these represented operations upon the supraaortic branches, 756 (13.5%) were operations upon the abdominal aorta and pelvic vessels, 647 (27.0%) were performed on the upper and lower extremity and 449 (18.7%) miscellaneous like e.g. arterial embolectomies, venous embolectomies and others. Intraoperative complications occurred in 2.8% where as there was a 3-fold postoperative complication rate (9.1%). Diffuse bleeding contributed the highest rate of complications followed by injuries different organs. In most cases injuries to the spleen resulted from undue retraction. Other complications were iatrogenic lesions of the ureter, neural injuries and intraoperative bypass-occlusions.
1980年至1989年间，针对主动脉弓以上和横膈以下血管的外周动脉闭塞性疾病进行了2395例重建手术。其中543例（22.6%）为主动脉弓上分支手术，756例（13.5%）为腹主动脉和盆腔血管手术，647例（27.0%）为上肢和下肢手术，449例（18.7%）为其他杂项手术，如动脉取栓术、静脉取栓术等。术中并发症发生率为2.8%，术后并发症发生率为其三倍（9.1%）。弥漫性出血导致的并发症发生率最高，其次是不同器官的损伤。在大多数情况下，脾脏损伤是由于过度牵拉所致。其他并发症包括输尿管医源性损伤、神经损伤和术中旁路闭塞。
