Assuntos
Procedimentos Cirúrgicos Cardiovasculares/métodos , Leiomiomatose/cirurgia , Complicações Pós-Operatórias/cirurgia , Neoplasias Vasculares/cirurgia , Veia Cava Inferior/cirurgia , Ponte Cardiopulmonar , Feminino , Átrios do Coração/diagnóstico por imagem , Humanos , Histerectomia , Leiomiomatose/diagnóstico por imagem , Leiomiomatose/patologia , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Complicações Pós-Operatórias/diagnóstico por imagem , Complicações Pós-Operatórias/patologia , Neoplasias Vasculares/diagnóstico por imagem , Neoplasias Vasculares/patologia , Veia Cava Inferior/diagnóstico por imagem , Veia Cava Inferior/parasitologia , Veia Cava Inferior/patologiaRESUMO
In this study we presented benefits of minimally invasive approach (MIAS) for treating abdominal aortic aneurysm (AAA) and aortoiliac occlusive disease (AIOD). MIAS technique consisted of minilaparotomy approach using incision length of 7-12 cm, intraabdominal small bowel retraction and standard aortic reconstruction with terminoterminal anastomosis or aortobifemoral bypass. Between December 2004 and January 2007 we perfomed 32 repairs for AAA and AIOD using MIAS technique. Mean infrarenal aortic cross clamp time was 48.5 +/- 17 minutes. Duration ofnasogastric suction and period before starting liquid diet was meanly 1.2 +/- 0.5 days. Mean time of stay in intensive care unit was 1.3 +/- 0.6 days, and hospital stay was 7.1 +/- 1.4 days. We had no 30-day mortality rate and there was no wound infection. MIAS technique is a safe method for the treatment of infrarenal AAA and AIOD including smaller wound size, shorter duration of postoperative ileus, intensive care unit stay and hospital stay, and lower hospital costs compared with those of standard way of treatment.