Aorto-bifemoralis bypass mtét retroperitoneális "mini" feltárásból (Elözetes közlemény).

Translated title of the contribution: Aorto-bifemoral bypass through retroperitoneal "mini"-incision (preliminary report)

G. Wéber, J. Geza, K. Kalmár Nagy, L. Cseke, G. Kasza

Research output: Contribution to journalReview article


The large vertical midline or transverse transperitoneal approaches used to the conventional aortoiliac reconstruction are accompanied with a relatively high postoperative morbidity and mortality rate (2% to 5%) even in patients who are good risks undergoing aortic surgery. The purpose of this study was develop a new technique for aorto-bifemoral bypass operation to minimize the operative stress on these patients. The recommended left paramedian retroperitoneal approach using 5-6 cm skin-incision and a special retractor with three dimensional vision and using modified surgical instruments directly with eye control, offers the possibility to decrease the operative stress significantly and the sufficient control of the serious bleeding might occur. If it is necessary this exposure can be immediately converted to a conventional approach by simply enlargement of the incision. In our first case the functional results were very good and consequently hospitalization time and the convalescence period were short. This minimal access approach appears to diminish the catabolic response and is hopefully associated with accelerated recovery and virtual abolition of large wound-related complications. It could become the procedure of choice for selected patients with obstructive or aneurysmal aorto-iliac disease.

Original languageHungarian
Pages (from-to)2035-2038
Number of pages4
JournalOrvosi hetilap
Issue number37
Publication statusPublished - Sep 11 1994


ASJC Scopus subject areas

  • Medicine(all)

Cite this

Wéber, G., Geza, J., Kalmár Nagy, K., Cseke, L., & Kasza, G. (1994). Aorto-bifemoralis bypass mtét retroperitoneális "mini" feltárásból (Elözetes közlemény). Orvosi hetilap, 135(37), 2035-2038.