Laparoscopic aortic reconstruction: early experience

American Journal of Surgery
Jim DoonerPeter Kuechler

Abstract

Laparoscopic reconstruction of the abdominal aorta has been described as early as 1993. The techniques used have varied but all have been labor intensive. With advances in laparoscopic technique and the available tools, the role in aortic reconstruction is expanding. The high cost of endovascular techniques as well as the morbidity of traditional open surgery has resulted in an increased focus on the laparoscopic approach. Our goal was to determine the feasibility of this technique. Retrospective review of the charts of patients undergoing laparoscopic aortobifemoral bypass grafting for chronic lower-limb occlusive disease. Thirteen patients were selected for the procedure. Ten were completed successfully and form the basis of the report. The average length of stay was 6.7 days compared with a historic cohort of 12 days. The average operative time was 6.5 hours, more than twice as long as the open technique. There was a tendency to lower blood replacement and less abdominal pain. One patient suffered a stroke postoperatively; no deaths occurred. This procedure is technically challenging but can be performed safely and successfully with adherence to several key anatomic principles. More widespread adoption of this technique may ...Continue Reading

References

Jul 14, 2005·Journal of Vascular Surgery·Andrew J OlindeJohn D Frusha

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Citations

Aug 21, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Thomas Joseph, Yves-Marie Dion
Mar 19, 2008·Annals of Vascular Surgery·Isabelle Di CentaOlivier Goëau-Brissonnière
Oct 24, 2008·Journal of Vascular Surgery·Jérôme CauJean-Marc Corpataux
Nov 28, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D NioD A Legemate
Jun 28, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F LecotI Fourneau

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