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Date Published: 10/03/2025
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DOI: https://doi.org/10.51298/vmj.v547i2.12991
Issue
Vol. 547 No. 2 (2025)
Section
Các bài báo
How to Cite
Trần, M. B. L., Trương, Đình Đức A., & Trần, T. V. (2025). RESULTS OF SURGICAL TREATMENT OF ABDOMINAL AORTIC ANEURYSMS WITH RETROPERITONEAL AND TRANSPERITONEAL INCISION. Vietnam Medical Journal, 547(2). https://doi.org/10.51298/vmj.v547i2.12991

RESULTS OF SURGICAL TREATMENT OF ABDOMINAL AORTIC ANEURYSMS WITH RETROPERITONEAL AND TRANSPERITONEAL INCISION

Minh Bảo Luân Trần, Đình Đức Anh Trương, Thanh Vỹ Trần

Main Article Content

Abstract

Objective: Evaluating the results of surgery to treat infrarenal abdominal aortic aneurysm through retroperitoneal and transperitoneal incisions. Methods: This is a retrospective study, describing a series of cases conducted at the Department of Thoracic and Vascular Surgery, University Medical Center, Ho Chi Minh city. Results: From January 2015 to March 2023, there were 79 patients divided into two groups: the retroperitoneal surgery group had 26 patients, transperitoneal surgery group had 53 patients. Of which: 60 men, 19 women; Average age 68.6 ± 9.46 (31-86); Average aneurysm diameter in group 1: 5.7 ± 1.2 (4.2-8.8), group 2: 5.4 ±  1.1 (4.0 - 8.8). The location of aortic clamping below the 2 renal arteries accounted for the majority of 66 cases (83.5%). Aortic clamping time 44.4 ± 24.2 (20-210)mins. The mean operation duration 225.2 ± 59.6 (130-390)mins. Postoperative complications: cardiovascular 5 cases (6.3%), respiratory 13 cases (16.5%), acute kidney injury 18 cases (22.7%), gastrointestinal 11 cases (13.9%), Bleeding in 5 cases (6.3%), lower limb arterial embolism in 2 cases (2.5%). There were 2 deaths (2.5%), both in the transperitoneal incision group: 1 case of multi-organ failure and 1 case of respiratory failure due to aspiration pneumonia. Conclusion: The advantage of retroperitoneal approach is shorter aortic clamping time. Both approaches have similar results in terms of operative time, blood loss, hospital stay, early complication rates and mortality.

Article Details

Keywords

Infrarenal Abdominal Aortic Aneurysms, Retroperitoneal Incision.

References

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