Comparison of Transperitoneal and Retroperitoneal Approaches in Abdominal Aortic Surgery

Kalko Y., Ugurlucan M. , Başaran M., Nargileci E., BANACH M., Alpagut U. , ...More

ACTA CHIRURGICA BELGICA, vol.108, no.5, pp.557-562, 2008 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 108 Issue: 5
  • Publication Date: 2008
  • Doi Number: 10.1080/00015458.2008.11680285
  • Title of Journal : ACTA CHIRURGICA BELGICA
  • Page Numbers: pp.557-562


Background : The transperitoneal approach (TP) to the aorta is the most widely accepted surgical approach in aortic surgery as it is simple, fast and provides excellent exposure of the intra-abdominal cavity and vascular structures. In recent years, there has been an increasing interest in the retroperitoneal (RP) approach to the aorta since it has been described as having a better outcome, i.e., preserving pulmonary function and gastro-intestinal physiology, reducing the intra-operative blood loss, minimising patient discomfort or pain, decreasing the incidence of wound complications and shortening ICU and hospital stay. The aim of this study is to compare the transperitoneal and retroperitoneal approaches in aortic surgery for aorto-iliac occlusive disease (AIOD).