PMID: 8939829Dec 1, 1996Paper

Laparoscopically assisted abdominal aortic aneurysm repair. A report of 10 cases

Surgical Endoscopy
M H ChenJ R Cohen

Abstract

Laparoscopic surgery decreases postoperative pain and length of hospital stay. Whether laparoscopically assisted abdominal aortic aneurysm (AAA) repair can be safely and reliably performed is unknown. This prospective study was designed to establish the feasibility of laparoscopically assisted AAA repair and its effects on intraoperative and postoperative variables. With IRB approval, 10 patients with infrarenal AAA requiring a tube graft underwent laparoscopically assisted AAA repair. The procedure consisted of laparoscopic dissection of the aneurysm neck and iliac vessels. Then, through an 8-11-cm minilaparotomy, a standard endoaneurysmorrhaphy was performed. Data included laparoscopic and total operative times, blood loss, fluid requirements, duration of nasogastric suction (NGT), and lengths of intensive care unit (ICU) and postoperative hospital stays. Laparoscopically assisted AAA was completed in nine of 10 patients. The first patient was converted to a standard incision because the aneurysm neck could not be adequately dissected. Laparoscopic and total operative times were 1.8 +/- 0.4 and 4.5 +/- 0.7 h, respectively. Mean blood loss was 1 +/- 0.6 l. Intraoperative fluid requirement was 6.6 +/- 1.3 l. The duration of NGT...Continue Reading

Citations

Oct 23, 1997·American Journal of Surgery·J M SackierY Wang
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
Nov 28, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·D NioD A Legemate
Feb 9, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K YoshidaG Watanabe
Jan 10, 2003·Circulation Journal : Official Journal of the Japanese Circulation Society·Yasuhisa MatsumotoShiro Sasaguri

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