Comparision of retroperitoneal and transperitoneal procedures in aortoiliac occlusive diseases


BAŞEL H. , Aidin U., Dostbil A., MANDUZ Ş., Kantarcioglu N., Hazar A.

Pakistan Journal of Medical Sciences, vol.25, no.5, pp.723-727, 2009 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 25 Issue: 5
  • Publication Date: 2009
  • Title of Journal : Pakistan Journal of Medical Sciences
  • Page Numbers: pp.723-727
  • Keywords: Aortic surgery, Retroperitoneal approach, Transperitoneal approach, AORTIC-SURGERY, RECONSTRUCTION, ANEURYSMS, REPAIR, WORTH

Abstract

Objective: Comparision of transperitoneal (TP) and retroperitoneal procedures at the surgical treatment of aortiliac occlusive diseases (AIOD) was aimed in this study. Advantages and disadvantages of the procedures were also evaluated. Methodology: From October 2003 to March 2009, 110 patients underwent aortic surgery. TP technique was performed to 50 patients and retroperitoneal(RP) technique was performed to 60 patients. Demographic datas, risk factors, peroperative and postoperative medical datas (24 parameters) were analyzed and compared between two groups. No statistically significiant difference was observed in demographic datas and risk factors. Five of eight operative parameters resulted in favor of RP procedure. Length of intensive care unit ( ICU) stay (p<0.01) length of hospital stay (p<0.01), return of bowel functions (p<0.01), time of beginning oral feding (p<0.01), effort pain score (p<0.01) were significiantly different in RP group and, results were better than TP group. Pulmonary complications were analyzed as lesser in RP group (p=0.02) There was no statistically significant difference at the rest of complication datas (wound complications p=0.09, paralitic ileus p=0.14, re-operation p=0.46, 30 day mortality p=0.30). Conclusion: Comparision of Medical datas showed that RP procedure is more advantegous than TP procedure at the surgical treatment of AIOD.