PMID: 8601889Mar 1, 1996Paper

Development and comparison of transperitoneal and retroperitoneal approaches to laparoscopic-assisted aortofemoral bypass in a porcine model

Journal of Vascular Surgery
D B JonesB G Rubin

Abstract

Transperitoneal and retroperitoneal approaches to video-assisted aortofemoral bypass were developed and compared using gasless laparoscopic techniques in a porcine model. Ten pigs were randomized to either a transperitoneal or retroperitoneal approach. Aortic clamp time, total operative time, and complications were recorded. Both operations used an external lift device to maintain the working space. Retroperitoneal operations first used serial balloon inflation to dissect the retroperitoneum. After exposure of the infrarenal aorta, a graft was tunneled under endoscopic visualization. End-to-side aortic and femoral anastomoses were created with conventional instruments through 4 cm incisions. Mean +/- SEM aortic clamp time, operative duration, and graft patency rates were similar for both approaches (difference not significant by unpaired t test). Intraoperative complications related to the use of the laparoscopic technique included injury to the bladder and small bowel (n=2) and occurred only in the transperitoneal group. The use of a gasless technique allowed direct visualization, standard instrumentation, and conventional anastomotic techniques. The retroperitoneal approach used the peritoneal sac to exclude the bowel, simpli...Continue Reading

References

Jul 1, 1995·Journal of Vascular Surgery·E S Berens, J R Herde
Feb 10, 1994·The New England Journal of Medicine·N J SoperK Kerbl

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Citations

Jul 11, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R KolvenbachB Landers
Jul 26, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T M A L KlemC H A Wittens
Apr 14, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P TozziL K von Segesser
Feb 25, 1998·Journal of Vascular Surgery·R G KlineJ R Cohen
Aug 18, 2000·The Journal of Surgical Research·A A NoelC Moir
Aug 1, 1996·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·T J Fogarty
Dec 29, 1998·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·J K EdogaJ Romanelli
Jul 5, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Maxime Formichi, Jean-François Renier
Aug 3, 1999·Surgical Endoscopy·Y M Dion, C Gracia

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