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Updated: Aug 10, 2026
08:50
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
[Minimal incision abdominal aortic aneurysm repair]
N Kawaharada1, K Morishita, J Fukada
1Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan. nobuyosh@sapmed.ac.jp
Zentralblatt Fur Chirurgie
|September 11, 2002
Summary
Minimal incision repair for abdominal aortic aneurysms (AAA) is feasible, offering reduced recovery times compared to standard open repair. This technique combines minimal incision benefits with conventional open repair outcomes.
Area of Science:
- Vascular Surgery
- Minimally Invasive Procedures
- Abdominal Aortic Aneurysm Treatment
Background:
- Abdominal aortic aneurysm (AAA) repair traditionally involves open surgery.
- Limited incision techniques aim to reduce surgical trauma and improve patient recovery.
Purpose of the Study:
- To evaluate the outcomes of minimal incision (MINI) repair for AAA.
- To compare MINI AAA repair with standard open (OPEN) repair.
Main Methods:
- Retrospective comparison of 20 patients undergoing MINI AAA repair with a control group undergoing OPEN repair.
- MINI involved a 10 cm incision with specific retraction techniques based on aneurysm location.
- Standard conventional techniques were used for the actual repair.
Main Results:
- Similar patient age between MINI and OPEN groups (69 years).
- MINI group showed significantly faster oral intake (2.4 vs. 7.4 days) and ambulation (2.2 vs. 4.6 days).
- MINI repair had substantially shorter operation times (197 vs. 294 minutes).
Conclusions:
- Minimal incision repair for AAA is technically feasible.
- It offers reduced patient recovery time compared to standard open repair.
- Combines benefits of minimally invasive approach with conventional open repair efficacy.
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