Abdominal Aortic Aneurysms Clinical Trial
Official title:
Prospective Randomized Study of Two Aortic Surgical Approaches: Mini-laparotomy Versus Mini Lumbotomy
This study aims to compare the results of two mini invasive surgical approaches in abdominal
aortic surgery: mini lumbotomy with retroperitoneal approach versus mini laparotomy with
transperitoneal approach. Respiratory and renal functions and recovery of intestinal transit
will be assessed after 30 days.
The secondary purpose of this study is to assess the life quality and morbi-mortality at 30
days, as well as at 6 and 12 months.
Following abdominal aortic surgery, post-operative outcomes are considered favorable with a
rapid recovery of respiratory, renal functions and intestinal transit, with limited cardiac
events. Complications are still frequent after the classic open abdominal surgery.
In abdominal aortic surgery, "mini" abdominal incision has been proposed as an alternative to
the classic large surgical approach.
Two mini surgical approaches are possible: mini lumbotomy with retroperitoneal approach, and
mini laparatomy with transperitoneal approach.
Previous studies have only compared classic versus mini surgical approaches and many are
retrospectives studies. Pain control through the mini-incision surgery allowed early
mobilization of patients, improved lung function, reduced muscle loss, and favoured
intestinal motility.
So far, no study has compared the results of two mini invasive aortic approaches.
The aim of this prospective randomized study is to compare two mini-invasive surgical
approaches and to determine which of them allows the improvement of surgical outcomes with
less morbi-mortality.
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