Intra-operative complications and causes of conversion during aortofemoral reconstruction through mini-laparotomy

Maksimov A.V.

Respublikanskaia klinicheskaia bol'nitsa Ministerstva zdravookhraneniia Respubliki Tatarstan, kafedra kardiologii i angiologii Kazanskoĭ gosudarstvennoĭ meditsinskoĭ akademii Federal'nogo agentstva po zdravookhraneniiu i sotsial'nomu razvitiiu

SPIN RSCI: 8779-8010
Scopus AuthorID: 37004729800
ORCID: 0000-0003-2803-4010

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Maksimov A.V.

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Journal: Pirogov Russian Journal of Surgery. 2011;(5): 19‑24

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Maksimov AV. Intra-operative complications and causes of conversion during aortofemoral reconstruction through mini-laparotomy. Pirogov Russian Journal of Surgery. 2011;(5):19‑24. (In Russ.)

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Results of 269 reconstructive operations on infrarenal aorta (among them 30 - for aneurysms) applied using mini-laparotomy (abdominal midsection 5-10 cm) were analyzed. Complexities during the operation occurred in 12,6% of patients; among them complications were observed in 4.8%. In 7.1% of cases it resulted in conversion of access. With accumulation of experience frequency of complications decreased from 6.1 to 3.8% (p=0,616) and frequency of conversions - from 12.2 to 3.2% (p=0.017). Comparison with group of 162 patients operated using standard laparotomy showed that despite rather more frequent complexities with infrarenal aorta reconstruction from mini-access (12.6% against 9.4%, p=0.505) amount of complications didn't differ significantly (4.8% and 5.6% respectively, p=0.930). Authors consider abdominal aorta reconstruction from mini-access to be a safe operation.

Keywords:

aortofemoral reconstruction

intraoperative complications

access conversion

Authors:

Maksimov A.V.

SPIN RSCI: 8779-8010
Scopus AuthorID: 37004729800
ORCID: 0000-0003-2803-4010

List of references:

Brustia P., Renghi A., Gramaglia L. et al. Mininvasive abdominal aortic surgery. Early recovery and reducedhospitalization after multidisciplinary approach. J Cardiovasc Surg 2003; 44: 5: 629-635.
Dion Y.M., Katkhouda N., Rouleau C., Aucoin A. Laparoscopy-assisted aortobifemoral bypass. Surg Laparosc Endosc 1993; 3: 5: 425-429.
Turnipseed W.D., Carr S.C., Tefera G. et al. Minimal incision aortic surgery. J Vasc Surg 2001; 34: 1: 47-53.
Weber G., Geza J., Kalmar Nagi K. et al. Aorto-bifemoral bypass through retroperitoneal "mini"-incision (preliminary report). Orv Hetil Review Hungarian 1994; 135: 37: 2035-2038.
Weber G., Istvan M., Toth G.A. et al. A randomized comparison between minilaparotomy and conventional approach for aortoiliac reconstructive surgery. Acta Chir Hung 1997; 36: 1: 391-392.

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