PMID: 9551051Apr 29, 1998Paper

Combined aortorenal reconstruction: is there an optimum method of exposure?

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
T K RamosR J Stoney

Abstract

To determine the advantages and disadvantages of two different transabdominal approaches to expose the pararenal aorta; infacolic (IC) and medical visceral rotation (MVR). Retrospective study. We reviewed a consecutive series of concurrently treated patients undergoing combined aortorenal reconstruction using one of these two approaches (IC n = 45; MVR n = 30). The two groups were identical with respect to demographics, risk factors and associated illnesses. Aortic aneurysmal disease predominated among MVR patients, and occlusive disease among IC patients (p = 0.001). The most common aortic reconstruction was aortofemoral bypass grafting. Renal revascularisation was most often performed for symptoms; only in the MVR group it was the result of involvement by aortic aneurysmal disease (p = 0.000). Thromboendarterectomy was the most common renal reconstruction, though performed only 10 times in the MVR group (p = 0.01). Except for supraceliac aortic cross-clamping, which was required more often in the MVR group (p = 0.004), operative details did not differ between the groups. Although the overall perioperative mortality and complication rate were equal, intraoperative splenic injury occurred solely in the MVR group (p = 0.001), an...Continue Reading

References

Feb 1, 1992·The Surgical Clinics of North America·C G CunninghamR Stoney
Feb 1, 1989·Annals of Surgery·I S PatersonH B Hechtman
Apr 1, 1986·Archives of Surgery·A D ShepardA D Callow
Aug 1, 1973·American Journal of Surgery·R J Stoney, E J Wylie
Jan 1, 1967·The Journal of Trauma·A L ShirkeyG L Jordan
Dec 1, 1993·American Journal of Surgery·B T AllenG A Sicard

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Citations

Feb 19, 1999·Journal of the American College of Surgeons·J C Stanley
Mar 8, 2000·Current Problems in Surgery·R J StoneyK J Cherry
Aug 29, 2006·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Petr UtikalMarie Cerna

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