Endovascular, transperitoneal, and retroperitoneal abdominal aortic aneurysm repair: Results and costs

摘要: Abstract Purpose: Contemporary treatment of abdominal aortic aneurysms (AAA) includes transabdominal (TA), retroperitoneal (RP), and endovascular (EV) repair. This study compares the cost early (30-day) results a consecutive series AAA repair by means these three methods in single institution. Methods: A total 125 repairs between February 1993 August 1997 were reviewed. Risk factors, 30-day morbidity mortality rates, hospital stay analyzed according to method (TA, RP, EV). Cost was normalized conversion factor maintain confidentiality. analysis TA (intent treat) EV group. Results: One hundred twenty-five performed with (n = 40), RP 24), or 61) approach. factors among groups (age, coronary artery disease, hypertension, diabetes, chronic obstructive pulmonary cigarette smoking) not statistically different, thus comparable. The average estimated blood loss significantly lower for (300 mL) than (700 (786 mL; P > .05). Statistically significant higher pharmacy clinical laboratories (likely related increased length [LOS]) supplies radiology (significantly reducing savings LOS) revealed an itemized analysis. Operating room similar EV, TA, RP. There six perigraft leaks (9.6%) conversions Conclusion: no differences rates EV. Respiratory failure more common after repair, compared whereas wound complications Overall difference shortened intensive care unit (ICU) use had rate. LOS reduced group radiology, accounting Considering resource preoperatively during follow-up patients, may be insignificant. is unlikely save money health system; its likely driven patient physician preference, view decrease rate stay. (J Vasc Surg 1999;30:59-67.)