The Comparation Of Open Surgery With Endovascular Surgery Of Abdominal Aortic Aneurysm

Objective： Through comparing the different strengths andweaknesses of endovascular aneurysm repair (EVAR) with traditionalopen repair (OR) of abdominal aortic aneurysm, to provide a basis forguiding clinical material that different patients should choose to take adifferent treatment options.Methods: Analyze the specific clinical data of81patients of ourhospital, who were treated the two different treatments with various typesof abdominal aorta aneurysm from January2011-March2014, bycomparing preoperative condition, surgery-related cases, perioperativecondition, the incidence of postoperative complications, survival rate andlong-term effects.Result: The comparison result is similar to the most literatures.Differences between the two groups of patients who were treated withendovascular aneurysm repair (EVAR) or traditional open repair (OR)were statistically significant (P≤0.05), in the intraoperative blood loss,intraoperative and postoperative transfusion, ICU ward observation time,postoperative fasting time, postoperative ambulation time, the averagetotal length of stay and the total cost of treatment, and other aspects. Thetwo groups of patients with different surgical treatments, in successful rate of surgery, perioperative mortality, the mean postoperative hospitalstay, operative time, complication rate, postoperative long-term effectsand survival difference was not statistically significant (P>0.05).Conclusion Both endovascular aneurysm repair (EVAR) andtraditional open repair (OR) treatment of AAA are safe and effective.Endovascular repair compared with traditional open repair has lesstrauma, less blood loss, faster recovery, fewer complications advantages,but the endovascular repair is higher treatment costs. So，for Somepatients who are senior, have more complicative underlying diseases, andhigher risk of open surgery, but faced with a large aneurysm which withcoming rupture patients, if the anatomical characteristics of the aneurysmmeet the surgical requirements, endovascular aneurysm repair (EVAR) isthe first choice. But for those patients who can tolerate the open surgerytrauma or anatomical characteristics do not meet the requirements ofendovascular surgery, laparotomy is more suitable. Therefore, we muststrictly control the current endovascular treatment of surgical indications,do follow-up work, instead of evaluating its advantages or disadvantagesexaggerated. We have to deal with specific issues, take various factors toselect the best treatment method for the patient.