COMPARISON OF DIRECT RESULTS OF ENDOPROSTHETICS AND PROSTHETICS OF THE ABDOMINAL AORTA FROM MINI-ACCESS FOR ANEURYSMS

Aorto-iliac surgical reconstructions are currently the gold standard in abdominal aortic aneurysm surgery. Endovascular abdominal aortic prosthesis is currently being considered as a potential alternative to standard intra-abdominal surgery. However, with the accumulation of experience in endovascular prosthetics, a large number of restrictions for this method of treatment have been revealed. However, in recent times, the rise of surgery on the aorto-iliac segment with the use of mini-laparotomy incisions, which are implemented by the classical techniques of reconstructive surgery of the abdominal aorta, essentially as a modifi ation of the standard open surgery, but at the same time, having a number of advantages over traditional and endovascular prosthetics abdominal aorta and potentially shows a greater number of patients with abdominal aortic aneurysms.The aim of the study is to compare the immediate results of surgical treatment of abdominal aortic aneurysms with endovascular and open mini-laparotomy methods.Material and methods: The article analyzes the immediate results of surgical treatment of 57 patients with abdominal aortic aneurysms. The differences were in the tactics of surgical treatment: 40 patients underwent abdominal aortic prosthetics from mini-laparotomy access, 17 patients received abdominal aortic endoprosthesis.Results: A comparative analysis of the immediate results of surgical and endovascular treatment of patients with abdominal aortic aneurysms shows comparable data for most indicators of the intraoperative period, postoperative rehabilitation of patients, and the frequency and severity of perioperative complications. Both methods have obvious advantages over traditional abdominal aortic prosthetics from a full laparotomy. Conclusion. Mini-laparotomic access during operations for abdominal aortic aneurysms can be a good alternative to both traditional prosthetics and endoprosthetics of the abdominal aorta, combining all the advantages of both open surgical and endovascular intervention.

abdominal aortic aneurysm, aortic endoprosthesis, abdominal aortic prosthetics