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Related Experiment Videos

Risberg retroperitoneal approach to the abdominal aorta

P E Butler1, P A Grace, P E Burke

  • 1Department of Surgery, Royal College of Surgeons, Beaumont Hospital, Dublin, Ireland.

The British Journal of Surgery
|August 1, 1993
PubMed
Summary

The Risberg approach, a modified lateral pararectus incision, significantly reduces operating time and hospital costs for infrarenal abdominal aorta surgery compared to transperitoneal and left flank retroperitoneal incisions.

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Area of Science:

  • Vascular Surgery
  • Surgical Incision Techniques
  • Abdominal Aorta Procedures

Background:

  • Optimal surgical access to the infrarenal abdominal aorta is crucial for successful outcomes.
  • Traditional transperitoneal and retroperitoneal approaches have associated limitations.

Purpose of the Study:

  • To compare the efficacy and outcomes of a novel modified lateral pararectus incision (Risberg approach) with standard transperitoneal and left flank retroperitoneal incisions for infrarenal abdominal aorta surgery.

Main Methods:

  • Retrospective comparison of 47 patients undergoing infrarenal abdominal aorta surgery.
  • Patients were divided into three groups: transperitoneal incision (n=15), left flank retroperitoneal incision (n=15), and Risberg approach (n=17).
  • Outcomes assessed included operating time, cross-clamping time, postoperative intubation, hospital stay, mortality, morbidity, and cost.

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Main Results:

  • The Risberg approach demonstrated significantly reduced operating time (141 min vs. 198 min) and intraoperative cross-clamping time (74 min vs. 104 min) compared to the left flank retroperitoneal incision (P < 0.05).
  • Compared to the transperitoneal approach, the Risberg incision resulted in significantly shorter postoperative intubation time (6.5 h vs. 17.5 h), reduced time to discharge (11.0 days vs. 17.3 days), and lower hospital costs (4885 pounds vs. 7732 pounds) (P < 0.02).

Conclusions:

  • The Risberg approach provides superior access to the infrarenal abdominal aorta while retaining the benefits of retroperitoneal techniques.
  • This modified lateral pararectus incision is recommended as the preferred approach for retroperitoneal access to the abdominal aorta.