关键词: 杂交手术, 胸腹主动脉, 主动脉夹层, 主动脉瘤

Abstract: Objective To summarize the experience and results of applying Hybrid technology to treat thoracoabdominal aortic diseases in our hospital.
Methods We counted 10 patients with thoracoabdominal aortic lesions admitted to our hospital from October 2016 to October 2020,including one case of thoracoabdominal aortic aneurysm and nine cases of thoracoabdominal aortic dissection.According to the extent of aortic disease involvement,visceral artery bypass surgery at the corresponding involvement site was performed first,followed by endoluminal overlapping stent repair of the aorta in one stage.The follow-up period ranged from 3 to 48 months,with a median follow-up time of 24.5 months.
Results All surgeries were successfully completed,including 10 cases of first-stage endovascular repair.The average operating time for the same operation was 8.5 h,and the average endovascular operation time was 2.0 h.There were no fatal cases 30 days after surgery,5 cases of acute kidney injury,5 cases of acute liver injury,3 cases of intestinal obstruction,and 1 case of intestinal fistula in the perioperative period.One of the patients with intestinal fistula died 3 months after surgery.By the end of follow-up,all patients had no endoleaks or paraplegia.All bypass vessels were patent and free of stenosis during the follow-up period.
Conclusion The hybridization technique is feasible for the treatment of complex thoracoabdominal aortopathy,with satisfactory near- to mid-term outcomes and long-term results awaiting further follow-up.

Key words: hybrid surgery, thoracoabdominal aortic disease, aortic dissection, aortic aneurysm