Key result
The retroperitoneal approach for aortic surgery significantly reduced ICU days, postoperative ileus, and total length of stay compared to the transperitoneal approach (P<0.0001).
Why the study?
Does the retroperitoneal approach improve clinical outcomes and reduce costs compared to the transperitoneal approach in patients undergoing aortic surgery?
Population
120 patients undergoing aortic surgery for aneurysm disease or occlusive disease
Comparison
Retroperitoneal approach for aortic surgery vs Conventional transperitoneal approach for aortic…
Design
Cohort, Patients were randomly assigned to one of three vascular surgeons
Follow-up
30 days
Authors
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Should not yet change surgical approach selection; leaves open need for randomized confirmation in aortic surgery.
RCT (n=120)
Randomly assigned to one of three vascular surgeons
No
Does the retroperitoneal approach improve clinical outcomes and reduce costs compared to the transperitoneal approach in patients undergoing aortic surgery?
p-value: p=<0.0001
The retroperitoneal approach for aortic surgery significantly reduces ICU time, length of stay, and hospital costs compared to the conventional transperitoneal approach.
Frank R. Arko (2001) conducted an RCT in Aortic disease requiring surgery (n=120). Retroperitoneal approach vs. Transperitoneal approach was evaluated on ICU days, postoperative ileus and total lengths of stay (p=<0.0001). The retroperitoneal approach for aortic surgery significantly reduced ICU days, postoperative ileus, and total length of stay compared to the transperitoneal approach (P<0.0001).
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