Pakistan Journal of Medical Sciences

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ISSN 1681-715X

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Volume 25

 October - December 2009 (Part-I)

Number  5


 

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Comparision of retroperitoneal and transperitoneal
procedures in aortoiliac occlusive diseases

Halil Basel1, Unal Aidin2, Aysenur Dostbil3,
Sinasi Manduz4, Nurkay Kantarcioglu5, Abdussamed Hazar6

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.

KEY WORDS: Aortic surgery, Retroperitoneal approach, Transperitoneal approach.

Pak J Med Sci    October - December 2009 (Part-I)    Vol. 25 No. 5    723-727

How to cite this article:

Basel H, Ayidin U, Dostbil A, Manduz S, Kantarcioglu N, Hazar A. Comparision of retroperitoneal & transperitoneal procedures in aortoiliac occlusive diseases. Pak J Med Sci 2009;25(5):723-727.


1. Halil Basel MD.
2. Unal Aydin MD.
1.2 Cardio Vascular Surgery Clinic of
Education Research Hospital of Van
Edremit / VAN TURKEY
3. Aysenur Dostbil MD.
Anesthesia Clinic of Education Research Hospital of Van
Edremit / VAN TURKEY
4. Sinasi Manduz MD.
5. Nurkay Kantarcioglu MD.
4.5 Cardio Vascular Surgery Clinic of Cumhuriyet University,
Faculty of Medicines Sivas
Edremit / VAN TURKEY
6. Abdussamed Hazar MD.
Cardio Vascular Surgery Clinic of Harran University,
Faculty of Medicines Sanli Urfa Edremit / VAN TURKEY

Correspondence:

Halil Basel MD.
Cardio Vascular Surgery Clinic of Education &
Research Hospital of Van
Edremit / VAN TURKEY
E mail: hbasel@mynet.com

* Received for Publication: June 4, 2009

* Revision Received: September 5th 2009

* Revision Accepted: September 7th 2009



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