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Minimal incision abdominal aortic aneurysm repair
J J Cerveira1, V J Halpern, G Faust
1Division of Vascular Surgery, Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, NY 11042, USA.
Journal of Vascular Surgery
|December 10, 1999
Summary
Minimal incision (MINI) repair for abdominal aortic aneurysms (AAAs) is a safe and effective alternative to traditional open surgery. This technique offers reduced operative time, blood loss, hospital stay, and costs, with comparable complication rates.
Area of Science:
- Vascular Surgery
- Minimally Invasive Surgery
- Abdominal Aortic Aneurysm Repair
Background:
- Abdominal aortic aneurysms (AAAs) pose significant health risks, necessitating effective surgical repair strategies.
- Conventional open repair and laparoscopic-assisted approaches have limitations in terms of invasiveness and recovery.
- Minimally invasive techniques are sought to improve patient outcomes and reduce healthcare costs.
Purpose of the Study:
- To evaluate the efficacy and outcomes of a minimal incision (MINI) technique for AAA repair.
- To compare MINI repair with laparoscopic-assisted (LAP) and standard open (OPEN) AAA repair methods.
Main Methods:
- Eleven patients with AAA requiring tube grafts underwent MINI repair via an 8- to 10-cm minilaparotomy.
- Clinical characteristics, in-hospital outcomes, and total charges were compared between MINI, LAP, and OPEN repair groups.
Main Results:
- MINI repair was successful in all patients, demonstrating significantly shorter operative times, reduced blood loss, shorter hospital stays, and lower total hospital charges compared to LAP and OPEN repairs.
- Gastrointestinal function was less compromised with MINI repair, evidenced by decreased fluid resuscitation needs and shorter nasogastric tube decompression times.
- Local complication rates were comparable across all three groups (MINI: 18.2%, LAP: 23.5%, OPEN: 29.7%; P = not significant).
Conclusions:
- Minimal incision (MINI) AAA repair is a technically feasible and advantageous approach.
- This technique combines benefits of minimally invasive surgery with conventional open repair, offering potential cost savings.
- MINI repair presents a viable alternative for AAA management, warranting further investigation.