Franklin J, Gonçalves S
Acta Med Port. 1989 Aug-Oct;2(4-5):183-8.
Based upon a series of 27 cases the results obtained with the extraperitoneal approach for the surgical management of atherosclerosis of the aorto-iliac segment, are presented and discussed. The patients, ranging in age from 55 to 87 years (mean 70.9 years) were considered as high risk patients because of associated respiratory, cardiac and renal diseases. The technique of extraperitoneal approach was applied in 8 cases (29.7%) of abdominal aortic aneurysms (AAA), and 19 cases (70.3%) of aorto-iliac occlusive disease (DOAI), with an operative mortality of 3.7%. It has been concluded that the extraperitoneal approach is an attractive alternative to the conventional transabdominal approach, particularly in those patients with significant risk factors, requiring aorto-iliac surgical reconstruction.
基于27例患者的系列研究，本文介绍并讨论了采用腹膜外入路手术治疗主-髂动脉段动脉粥样硬化的结果。患者年龄在55至87岁之间（平均70.9岁），由于合并呼吸、心脏和肾脏疾病，被视为高危患者。腹膜外入路技术应用于8例（29.7%）腹主动脉瘤（AAA）和19例（70.3%）主-髂动脉闭塞性疾病（DOAI），手术死亡率为3.7%。得出的结论是，对于那些有显著危险因素且需要主-髂动脉手术重建的患者，腹膜外入路是传统经腹入路的一种有吸引力的替代方法。
