This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Ludger Sunder-Plassmann Permission Requests Google Scholar Articles by Muehling, B. M. Articles by Sunder-Plassmann, L. PubMed PubMed Citation Articles by Muehling, B. M. Articles by Sunder-Plassmann, L. Related Collections Lung - cancer

Elective infrarenal abdominal aortic aneurysm repair – transperitoneal, retroperitoneal, endovascular?

Department of Thoracic and Vascular Surgery, University of Ulm, Steinhövelstrasse 9, 89075 Ulm, Germany

*Corresponding author. Tel.: +49-731-500-54044; fax: +49-731-500-26705.

E-mail address: bernd.muehling{at}uniklinik-ulm.de (B.M. Muehling).

We retrospectively analyzed the peri-operative outcome of 210 consecutive patients undergoing elective infrarenal abdominal aortic aneurysm (AAA) repair according to the surgical approach: transperitoneal (TP; 63 patients), retroperitoneal (RP; 81 patients) and endovascular (EV; 66 patients) repair. Concerning gender, AAA diameter and classification of the American Society of Anesthesiologists (ASA score) all groups were comparable; the median age in the EV group was significantly higher (78 years vs. 68 years and 67 years, respectively, P=0.001). Mortality rates were 0% for TP, 1.2% for RP and 3% for EV repair (n.s.). Morbidity rates did not significantly differ between the groups. In specialized centres mortality rates of elective infrarenal aneurysm repair are low – regardless of the surgical approach. In such centres the best treatment options for each patient as to the surgical approach as well as peri-operative management can be provided individually.

Key Words: Aortic aneurysm; Elective repair; Transperitoneal; Retroperitoneal; Endovascular