Tordoir J H, van de Pavoordt H D, Eikelboom B C, Vermeulen F E, De Geest R
Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Neth J Surg. 1988 Feb;40(1):1-5.
The results of a thoraco-abdominal retroperitoneal approach for the treatment of pararenal aneurysms are discussed. Fifteen patients with juxtarenal (7 pts) and suprarenal (8 pts) aneurysms were operated on by a left side thoracolaparotomy with retrocolic dissection. In 12 patients suprarenal aortic cross clamping was necessary for 10 to 60 minutes. Seven tube and eight bifurcation grafts were implanted using the inlay technique. There were no postoperative deaths; only one patient had a severe complication with total renal failure for which hemodialysis was started. In our experience the thoraco-abdominal aortic approach is a safe method for the treatment of patients with pararenal aneurysm.
讨论了胸腹后腹膜入路治疗肾旁动脉瘤的结果。15例肾周（7例）和肾上腺（8例）动脉瘤患者接受了左侧胸腹联合切开并经结肠后游离的手术。12例患者需要进行10至60分钟的肾上腹主动脉交叉钳夹。使用镶嵌技术植入了7个直管和8个分叉移植物。术后无死亡病例；仅1例患者出现严重并发症，即开始进行血液透析的完全肾衰竭。根据我们的经验，胸腹主动脉入路是治疗肾旁动脉瘤患者的一种安全方法。
