Abdominal aortic aneurysm(AAA)is a common disease in vascular surgery.Traditional open aortic repair(OAR)or endovascular aortic repair(EVAR)is the only effective treatment.OAR reached its peak between 1950s and 1990s,and due to its trauma,technical complexity and the rapid development of EVAR technology,the application of OAR has gradually decreased.However,the role of OAR is still irreplaceable in basic research,young patients and my-cotic AAA.This study reviewed the history and current situation of OAR,analyzed its advantages and disadvantages,discussed the key points of intraoperative techniques and the management of complications,and summarized the role and position played by OAR in the EVAR era.
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