[Remote results of aortofemoral reconstructions performed through miniaccess]

Analysed herein are long-term outcomes of 250 reconstructions of the infrarenal aorta for occlusive disease with the use of transperitoneal miniapproach (median minilaparotomy 5-10 cm long). The patients' average age amounted to 58.2±0.64 years. 60.4% of patients had critical ischaemia. Bilateral reconstruction was performed in 216 patients, and unilateral--in 34 subjects (with revascularization performed on a total of 466 limbs). Hospital lethality rate amounted to 0.8% (2 patients). There were 2 bypass-graft thromboses (in one case with successful thrombectomy). The incidence rate of amputations was 0.86% from the number of revascularized extremities. Remote outcomes were assessed in 145 patients within terms varying from 6 months to 84 months (mean follow-up duration--30.8±1.4 months). Primary patency after 1 year amounted to 97.0±0.1%, after 5 years--81.8±3.9%, after 84 months--67. ±9.8%, with the corresponding figures for secondary patency amounting to 98.0±0.83%, 91.9±2.8% and 91.9±2.8%, respectively. The limb preservation rate after one year equalled 97.0±0.9%, after 5 years--93.6±2.4%, after 84 months--93.6±2.4%. Five-year survival amounted to 73.5±6.2%. Postoperative ventral hernias were revealed in 6.9% of patients. Hence, the long-term outcomes of aortofemoral reconstructions thorough the miniapproach correspond to the commonly accepted criteria for quality of operations for occlusive pathology of the aortofemoral segment.