Weber G, Strauss A L, Jako G
I. Chirurgische Abteilung, Medizinische Universität, Pécs, Ungarn.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:885-8.
Using a prospective, randomized trial, the authors compared the minilaparotomy (ML) with the conventional transabdominal approach (CTA) to the aorta for infrarenal aortic reconstruction. After surgery, nasogastric drainage was significantly (p < 0.01) shorter; bowel movement and initiation of alimentation began earlier in the ML group. Both groups of patients showed a significant decrease in vital capacity and forced expiration volume postoperatively, but this depression was significantly higher (p < 0.05) in the CTA group. The ML group also had significantly shorter stays in the intensive care unit and the mean duration of the postoperative hospital stay was also significantly less (p < 0.05).
作者采用前瞻性随机试验，比较了经腹小切口（ML）与传统经腹主动脉入路（CTA）用于肾下腹主动脉重建的效果。术后，鼻胃管引流时间显著缩短（p < 0.01）；ML组肠鸣音恢复和开始进食时间更早。两组患者术后肺活量和用力呼气量均显著下降，但CTA组下降幅度更大（p < 0.05）。ML组在重症监护病房的停留时间也显著缩短，术后平均住院时间也显著减少（p < 0.05）。
