Abstract：Objective This study aimed to compare the short-term efficacy of open surgery (OSR) and endovascular surgery (EVAR) for abdominal aortic aneurysm.Methods A retrospective analysis was conducted on 118 patients who underwent surgery in the Department of Vascular Surgery of the First Affiliated Hospital of Bengbu Medical College due to abdominal aortic aneurysm from January 2008 to December 2020. The patients comprised 102 males and 16 females aged 70.5±9.6 years. According to different surgical-treatment methods, 23 cases were divided into the OSR group, and 95 cases were divided into the EVAR group. The outcome measures were as follows. (1) The baseline data of age, gender, bad living habits, complications, tumor diameter, and complex tumor neck morphology were compared between the two groups. (2) The operation time, intraoperative bleeding, fasting time, postoperative bed time, hospital stay, postoperative complications, and death were compared between the two groups. (3) Computed tomography angiography was rechecked, and the presence of reintervention, stent thrombosis, stent restenosis, graft infection, and various types of internal leakage was noted.Results No significant difference in baseline data was observed between the OSR and EVAR groups (all P values＞0.05). The operation was performed in all patients successfully. The operative time, intraoperative blood loss, water fasting time, postoperative bed time, and hospital stay in the EVAR group were all shorter than those in the OSR group: (141.15±22.97) min vs. (242.79±29.41) min, (34.32±16.08) mL vs. (443.93±109.58) mL, (14.26±3.34) h vs. (52.25±12.05) h, (4.07±0.63) d vs. (6.48±0.83) d, (21.88±1.78) d vs. (24.44±2.44) d, respectively. The differences were statistically significant(t=17.919, 17.881, 14.978, 15.532, and 4.745; all P values＜0.05). No significant differences were observed in the incidence of perioperative complications and mortality between the two groups (all P values＞0.05). All patients were followed up for 1 year. No serious complications were observed, except for two cases of slight type-Ⅱ internal leakage in the EVAR group.Conclusions Open surgery and endovascular surgery for abdominal aortic aneurysm achieve good short-term treatment results. Compared with open surgery, endovascular repair has shorter operation time, less intraoperative bleeding, shorter fasting, shorter bed rest and hospital stay, and faster postoperative recovery.
徐超, 余朝文, 任天才, 陈世远, 孙勇, 高涌. 腹主动脉瘤开放手术和腔内手术治疗的近期疗效分析[J]. 中华解剖与临床杂志, 2021, 26(6): 658-662.
Xu Chao, Yu Chaowen, Ren Tiancai, Chen Shiyuan, Sun Yong, Gao Yong. Early efficacy of open surgery and endovascular surgery for abdominal aortic aneurysm. Chinese Journal of Anatomy and Clinics, 2021, 26(6): 658-662.
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2021, Vol. 26 
