Laparoscopic Aortofemoral Bypass

Ahn, Samuel S.; Clem, Michael F.; Braithwaite, B. D.; Concepcion, Blessie; Petrik, Pavel V.; Moore, Wesley S.

doi:10.1097/00000658-199511000-00011

Cited by 64 publications

(4 citation statements)

References 4 publications

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“…8 Laparoscopic end-to-end aorto-graft anastomosis (3-0 Prolene sutures) was performed clinically by Dion and coworkers. 9,10 We recently published the initial description of the technique and durable chronic results of laparoscopic aortorenal bypass in the porcine model.…”

Section: Discussionmentioning

confidence: 99%

Second Prize (Co-winner): Laparoscopic Renal Autotransplantation

Meraney

Gill

Kaouk

et al. 2001

Journal of Endourology

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Section: Discussionmentioning

confidence: 99%

Second Prize (Co-winner): Laparoscopic Renal Autotransplantation

Meraney

Gill

Kaouk

et al. 2001

Journal of Endourology

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“…Die vollständige laparoskopische Anlage eines aortofemoralen Bypasses ohne Minilaparotomie wurde klinisch erstmals von Ahn et al [1] vorgestellt. Sie anastomosierten rein laparoskopisch mit Hilfe des Pneumoperitoneums eine Bifurkationsprothese End-zu-Seit mit der Aorta nach entsprechender Freilegung des Retroperitoneums.…”

Section: Operationstechnikunclassified

Laparoskopisch assistierte aortoiliakale Rekonstruktionen

Kolvenbach

Deling

Wellmann

1997

Langenbecks Arch Chiv

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Five patients underwent an aortobifemoral bypass using a laparoscope-assisted procedure. With the help of a wall-lifting device, balloon dissection of the retroperitoneum was performed. A total number of five ports were inserted and the aorta was dissected out from the bifurcation to the renal arteries under the guidance of a laparoscopic video camera. A 5-cm incision was required for suturing the proximal anastomosis of the bifurcated graft. Tunneling from the groin to the aorta was performed either video-assisted or with the help of the balloon dissector with a camera inside. All patients could be fully mobilized on the first postoperative day and were discharged after a mean hospital stay of 7.6 days. Mean length of the operation was 250 min. Originally, seven patients were scheduled for the video-assisted procedure. In two cases, we had to change to a conventional technique: in one case because we could not achieve adequate exposure of the aorta in an obese patient using a transperitoneal access, and in the second case owing to extensive adhesions after a bowel resection. Both patients had a regular, uneventful postoperative course. Gasless laparoscopy allowed us to use standard surgical instruments and most importantly a regular aortic clamp, which proved to be beneficial in a heavily calcified aorta. In conclusion, retroperitoneal gasless laparoscopic procedures can be safely performed in infrarenal aortoiliac reconstructions. Further clinical studies are required to prove the usefulness of this new technique.

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“…sympa~ec tomy have now been performed using this technique [4][5][6]. More recently, laparoscopic aortofernoral byPass by transperitoneal and retroperitoneallaparoscopy has been described in a porcine model [7], and laparoscopic-assisted vascular procedures in humans have been performed for aorto-femoral bypass and ilio-femoral bypass [8,9].…”

Section: Introductionmentioning

confidence: 99%

Extraperitoneal Laparoscopic Aortic Control with Endovascular Visualization of a Stent-Graft Combination

Andrews,

Freestone,

Pate

et al. 1999

Cardiovascular Surgery

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Objectives: To demonstrate the feasibility of minimally invasive approaches to the aorta using retroperitoneal laparoscopy and to clamp the aorta to give views for perfemoral aortic angioscopy. Methods: Using retroperitoneal laparoscopy facilitated by balloon dissection the authors developed a new approach to the infrarenal abdominal aorta, in six pigs, to allow control of aortic blood flow. Aortic stent-grafts were then deployed via femoral arteriotomy, and after flushing the blood from the aorta, the stent-grafts were visualized by angioscopy. Results: Accurate positioning and patency of the stent-grafts was ascertained by direct vision angioscopy in all cases. Conclusions: This series shows that extraperitoneal laparoscopic aortic dissection is feasible and direct endovascular visualization of the aortic lumen can be performed. This may find a role as an adjunct to endovascular techniques such as endovascular stent-graft placement, by aortic angioscopy following minimally-invasive aortic clamping.

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Laparoscopic Aortofemoral Bypass

Abstract: Laparoscopic aortofemoral bypass is technically feasible in a porcine model. Further experimental work with new instrumentation and technical refinement will make laparoscopic surgery feasible for the treatment of vascular disease in humans.

Cited by 64 publications

References 4 publications

Second Prize (Co-winner): Laparoscopic Renal Autotransplantation

Second Prize (Co-winner): Laparoscopic Renal Autotransplantation

Laparoskopisch assistierte aortoiliakale Rekonstruktionen

Extraperitoneal Laparoscopic Aortic Control with Endovascular Visualization of a Stent-Graft Combination

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