Author/Editor		Klokočovnik, Tomislav
Title		Endoanevrizmorafija anevrizme abdominalne aorte skozi minimalno laparotomijo
Translated title		Endoaneurysmorrhaphy - minimally invasive abdominal aortic aneurysm repair
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 4, št. 10
Publication year		1999
Volume		str. 155-7
Language		slo
Abstract		Background. Although minimally invasive operative approach has been increasingly used in cardiovascular surgery lately, minimal access abdominal aortic repair is still in its experimental phase. Patients and methods. At this Department, endoaneurysmprrhaphy performed though minilaparotomy has been used in 3 patients harbouring abdominal aortic aneurysm, 5 cm in diameter, arising below the point of origin of the renal arteries. Results. Endoaneurysmorrhaphy for abdominal aortic aneurysm has proved a fairly safe, yet technically rather demanding operative technique. Its advantages include: decreased postoperative pain, reduced risk of paralytic ileus, faster recovery and shorter hospital stay. Conclusions. In the selected cases, endoaneurysmorrhaphy accomplished through minilaparomtomy has proved a safe treatment modality yielding good postoperative results.
Summary		Izhodišča. Minimalni invazivni pristop se je začel uveljavljati v kardiovaskularni kirurgiji v zadnnjih nekaj letih, vendar je minimalni pristop za kirurgijo anevrizme abdominalne aorte še vedno v eksperimentalni fazi. Bolniki in metode. Endoanevrizmorafijo anevrizme abdominalne aorte skozi minilaparotomijo smo naredili pri treh bolnikih. Pri vseh treh bolnikih je bila indikacija za operativni poseg anevrizma abdominalne aorte premera več kot 5 cm pod izstopiščem renalnih arterij. Rezultati. Endoanevrizmorafija anevrizme abdominalne aorte se je izkazala kot dokaj varna operativna metoda, sicer pa za kirurga nekoliko zahtevnejši poseg. Vsi bolniki so imeli manjše pooperativne bolečine, manjše težave s parezo črevesja, okrevanje je bilo hitrejše in hospitalizacija je bila krajša. Zaključki. Endoanevrismorafijo anevrizme abdominalne aorte skozi minilaparotomijo je možno opraviti varno v izbranih primerih z dobrimi pooperativnimi rezultati.
Descriptors		AORTIC ANEURYSM, ABDOMINAL SURGERY, MINIMALLY INVASIVE LAPAROTOMY