Key result
The retroperitoneal approach for repair of abdominal aortic aneurysms and aortoiliac occlusive disease is clinically superior to the transabdominal route and demonstrates reduced physiological disturbance.
Why the study?
Does the retroperitoneal approach improve clinical outcomes and reduce physiological disturbance compared to transabdominal exposure in patients with infrarenal abdominal aortic disease?
Does the retroperitoneal approach improve clinical outcomes and reduce physiological disturbance compared to transabdominal exposure in patients with infrarenal abdominal aortic disease?
The retroperitoneal approach is a suitable and potentially clinically superior alternative to transabdominal exposure for elective abdominal aortic operations, particularly in high-risk patients.
Supports retroperitoneal approach in high-risk aortic surgery; leaves open need for randomized confirmation.
Transabdominal exposure is the most widely used surgical approach to the infrarenal aorta. Over the last 30 years a number of surgeons have championed the retroperitoneal approach for repair of abdominal aortic aneurysms and aortoiliac occlusive disease using a variety of incisions. Several studies attest to the clinical superiority of this approach over the transabdominal route and recent evidence demonstrates reduced physiological disturbance with this technique. The retroperitoneal approach is suitable for all elective operations on the abdominal aorta, particularly in patients with high-risk aneurysms and in selected patients with symptomatic and ruptured aneurysms.
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Grace et al. (1991) conducted a review in Infrarenal abdominal aortic disease. Retroperitoneal approach vs. Transabdominal exposure was evaluated. The retroperitoneal approach for repair of abdominal aortic aneurysms and aortoiliac occlusive disease is clinically superior to the transabdominal route and demonstrates reduced physiological disturbance.
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