Yuen J C, McDowell D E
Division of Plastic Reconstructive Maxillofacial and Oral Surgery, Duke University Medical Center Durham, North Carolina.
W V Med J. 1991 Jan;87(1):13-5.
Aortic repair by graft replacement is currently the most generally accepted and widely used technique in the treatment of infrarenal abdominal aortic aneurysm. Many alternative approaches have been considered in order to limit the physiological stress of surgery. A recently described technique involves an extraperitoneal approach to the abdominal aorta, whereby the aneurysm is left in situ, excluded from arterial pressure, and an infrarenal aortic bypass is performed. In this case report, this exclusion bypass technique was safely applied through a transperitoneal approach to manage a very large, tortuous and displaced infrarenal abdominal aortic aneurysm which was densely adherent to the left kidney and ureter.
目前，通过移植置换进行主动脉修复是治疗肾下腹主动脉瘤最普遍接受且广泛应用的技术。为了限制手术的生理应激，人们考虑了许多替代方法。最近描述的一种技术涉及经腹膜外途径处理腹主动脉，即动脉瘤原位保留，使其免受动脉压力影响，并进行肾下腹主动脉旁路移植术。在本病例报告中，这种旷置旁路技术通过经腹途径安全应用于处理一个非常大、迂曲且移位的肾下腹主动脉瘤，该动脉瘤与左肾和输尿管紧密粘连。
