Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492005000300003
Jornal Vascular Brasileiro
Original Article

Vias de acesso transperitoneal e retroperitoneal em cirurgia de aorta: resultados comparativos a longo prazo

Orlando Caetano Jr.; Kleber Sene Silva; Bonno van Bellen

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Resumo

OBJETIVO: A via de acesso mais utilizada à aorta abdominal para correção da doença obstrutiva ou aneurismática é a transperitoneal, sendo que a retroperitoneal é muitas vezes apontada como causando menos complicações. O objetivo deste estudo é comparar as duas vias no tocante às complicações tardias. MÉTODO: Para comparação da evolução tardia, foram estudados 96 pacientes retrospectivamente, sendo 81 portadores de aneurisma e 15 de doença aorto-ilíaca. A via retroperitoneal foi usada em 43 pacientes, e a transperitoneal, em 53. RESULTADOS: Não houve diferença entre as ocorrências de hérnia incisional, flacidez de parede abdominal e ejaculação retrógrada. CONCLUSÕES: Não foram observadas diferenças entre os dois tipos de acesso quanto aos parâmetros considerados na avaliação tardia.

Palavras-chave

aorta abdominal, vias de acesso vascular, cirurgia

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