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Thoraco-abdominal Aorta Revascularization through a Retroperitoneal Approach

查看全文 作　　者：Yue-hong [1]Zheng;Kun [2]Yu;Jie-feng [3]Zhang;Nim [4]Choi;Hong-ru [4]Deng;Furtado [4]Rui 高影响力作者 机构地区：[1]Department of Vascular Surgery, Peking Union Medical College Hospital, ChineseAcademy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;[2]Department of Extracorporeal Circulation, Fuwai Hospital, Beijing 100037, China;[3]Department of Vascular Surgery, Weifang People's Hospital, Shandong 261041, China;[4]Department of General Surgery, Cir Gen/Vas, Central Hospital Centre S. Januario, Macao, China高影响力机构 出　　处：《Chinese Medical Sciences Journal》索引2010年第25卷第4期,共4页高影响力期刊 摘　　要：Objective To investigate the application of the retroperitoneal approach in aortic surgery. Methods We collected and analyzed data of 7 patients in Macao who presented with aortic diseases from 2007 to 2008 and were treated with aorta repair through retroperitoneal approach. Demographic features as well as intraoperative and postoperative data were analyzed. One case of thoracoabdominal aneurysm and 4 cases of abdominal aneurysm received artificial graft, among which hybrid iliac artery reconstruction with Zenith stent covering the ostium of the left subclavian artery was performed in 2 cases of infrarenal abdominal aneurysm. Aortic-iliac artery bypass was performed in 2 cases of aortoiliac occlusion. Results No operative or early postoperative death was observed. No perioperative intestinal adhesion or ureteral obstruction was found. One case reported delayed paraplegia and graft infection as postoperative complications. The complications were partially removed 3 months later after rehabilitation. Conclusion Retroperitoneal approach is a safe and feasible technique, which associated with a low incidence of postoperative pulmonary complications. 关 键 词：腹主动脉 腹膜 搭桥 围手术期 动脉瘤 并发症 分析数据 早期死亡
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