Laparoscopy-assisted abdominal aortic aneurysm repair: early and middle-term results of a consecutive series of 122 cases

Journal of Vascular Surgery
Mauro FerrariFranco Mosca

Abstract

Endoaneurysmorrhaphy with intraluminal graft placement, described by Creech, is the gold standard for abdominal aortic aneurysm (AAA) repair. Endovascular aneurysm repair has gained popularity for its minimal invasiveness and satisfying short-term results, but there are still many concerns about the long-term success of the procedure. Since 1998, laparoscopic surgery has been proposed for AAA treatment. The potential benefits of a minimally invasive procedure reproducing the endoaneurysmorrhaphy results over time have been advocated. In our experience, hand-assisted laparoscopic surgery (HALS) has been routinely used for the open-surgery transperitoneal/retroperitoneal approach and for endovascular aneurysm repair. After 4 years, we are able to define the early and middle-term results of such laparoscopic-assisted treatment. From October 2000 to March 2004, 604 consecutive nonurgent AAAs were treated at our institution. Of these, 122 (20.2%) were treated by HALS. Exclusion criteria for HALS were hostile abdomen (previous major abdominal or aortic surgery), bilateral diffuse common iliac and/or hypogastric aneurysms, massive aortoiliac calcifications, and severe cardiac (ejection fraction <35%) and respiratory (P(O2) <60 mm Hg o...Continue Reading

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Citations

Oct 1, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·I-Hui WuMing-Tsan Lin
May 4, 2010·Journal of Neurosurgery. Spine·Liu Xue-SongZhang Heng
May 31, 2011·Annals of Vascular Surgery·Enrico Maria MaroneRoberto Chiesa
Jun 25, 2010·The British Journal of Surgery·T L Luk, C P Shearman
Feb 18, 2015·The British Journal of Surgery·A Q HowardC M Backhouse
Mar 1, 2014·Interactive Cardiovascular and Thoracic Surgery·Nadeem AhmedOmar A Khan
Nov 3, 2009·Journal of Vascular Surgery·Mauro FerrariAndrea Pietrabissa
Oct 14, 2009·Journal of Vascular Surgery·Elliot L ChaikofUNKNOWN Society for Vascular Surgery
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
Mar 14, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Shirley J JansenMichael M D Lawrence-Brown
Jan 11, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F L MollUNKNOWN European Society for Vascular Surgery
Jan 1, 2010·Journal of Vascular Surgery·Ricardo YoshidaWinston Yoshida
May 5, 2017·The Cochrane Database of Systematic Reviews·Lindsay Robertson, Sandip Nandhra
Feb 6, 2019·Journal of Vascular Surgery·Raffaella BerchiolliMauro Ferrari

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