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-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.
Annals of Vascular Surgery – Springer Journals
Published: Jan 23, 2014
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