ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Comparison of retroperitoneal and transperitoneal procedures in aortoiliac occlusive diseases
Halil Başel1, Ünal Aydın1, Hakan Kutlu1, Sadiye Deniz Özsoy1, Ayşenur Dostbil4, Müge Taşdemir1, Nurkay Katrancıoğlu3, Abdulsamed Hazar2
1Van Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Van
2Harran Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Şanlıurfa
3Cumhuriyet Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Sivas
4Van Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Anestezi ve Reanimasyon Kliniği, Van
Background: In this study, transperitoneal (TP) and retroperitoneal (RP) procedures in the surgical treatment of aortoiliac occlusive diseases (AIOD) were compared advantages and disadvantages of these procedures were evaluated.

Methods: Fifty-five patients who underwent surgery for AIOD between October 2003 and August 2007 were retrospectively evaluated. Retroperitoneal technique was performed in 30 patients and TP technique was performed in 25 patients. Clinical features, risk factors, peri- and postoperative medical data were analyzed and compared between two groups.

Results: No statistically significant differences were observed in clinical features and risk factors. Of the eight operative parameters, five were in favor of RP procedure. Duration of intensive care unit stay (p<0.01), duration of hospital stay (p<0.01), return of bowel functions (p<0.01), beginning time of oral feeding (p<0.01), effort pain score (p<0.01) were significantly better than those observed in TP group. Pulmonary complications were also fewer in RP group (p=0.02) but the difference was not statistically significant for this parameter. There were no statistically significant differences when the other complication parameters [wound complications (p=0.09), paralitic ileus (p=0.14), re-operation (p=0.46), 30th day mortality (p=0.30)] were considered.

Conclusion: When the results are compared, it is seen that RP procedure is more advantageous than TP procedure in the surgical treatment of AIOD.

Keywords : Aortic surgery; comparision; retroperitoneal approach; transperitoneal approach
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