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Cost-effective Aortic Exposure: A Retroperitoneal Experience

Cost-effective Aortic Exposure: A Retroperitoneal Experience -values > 0.12), mean IAA size (p= 0.41) or mean operative blood loss (p= 0.89). Incidence of postoperative complications was similar between the groups (11 in TP and 6 in RP; p= 0.29). However, a trend without statistical significance was noted in the incidence of pulmonary complications (7 in TP and 2 in RP; p= 0.11). Mean ICU days (4 vs. 2; p= 0.004) and hospital days (11 vs. 6; p= 0.002) were significantly longer after TP aortic exposure than after the RP approach. Mean total hospital cost was significantly reduced for patients having RP IAA repair compared to TP IAA repair (mean cost difference = $5,527; p= 0.016). Retroperitoneal exposure for IAA repair is associated with decreased pulmonary complications, significantly shorter ICU and hospital days, and significantly decreased hospital cost compared to transperitoneal aortic exposure. In the future, RP exposure for IAA repair should be the benchmark for comparison of any new techniques. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Cost-effective Aortic Exposure: A Retroperitoneal Experience

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References (18)

Publisher
Springer Journals
Copyright
Copyright © 2000 by by Annals of Vascular Surgery, Inc.
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s100169910001
Publisher site
See Article on Publisher Site

Abstract

-values > 0.12), mean IAA size (p= 0.41) or mean operative blood loss (p= 0.89). Incidence of postoperative complications was similar between the groups (11 in TP and 6 in RP; p= 0.29). However, a trend without statistical significance was noted in the incidence of pulmonary complications (7 in TP and 2 in RP; p= 0.11). Mean ICU days (4 vs. 2; p= 0.004) and hospital days (11 vs. 6; p= 0.002) were significantly longer after TP aortic exposure than after the RP approach. Mean total hospital cost was significantly reduced for patients having RP IAA repair compared to TP IAA repair (mean cost difference = $5,527; p= 0.016). Retroperitoneal exposure for IAA repair is associated with decreased pulmonary complications, significantly shorter ICU and hospital days, and significantly decreased hospital cost compared to transperitoneal aortic exposure. In the future, RP exposure for IAA repair should be the benchmark for comparison of any new techniques.

Journal

Annals of Vascular SurgerySpringer Journals

Published: Jan 23, 2014

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