Laparoscopically assisted abdominal aortic aneur ysm repair

Rahi, MA; Coyle, Thomas; Williams, IM; Shandall, A. A.

doi:10.1016/s0140-6736(05)77945-9

Cited by 2 publications

(2 citation statements)

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“…Gaining experience with this operative approach is a major factor and possibly contributes to reducing the postoperative mortality rate. Nowadays, the advent of endovascular stents and laparoscopically assisted aortic aneurysm surgery has further limited the indications for open aortic surgery [11]. Once the initialleaming curve has been surmounted there is no reason why the left retroperitoneal approach should not be considered for all aortoiliac reconstructive surgery.…”

Section: Discussionmentioning

confidence: 99%

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Left Retroperitoneal Approach for Aortic Surgery

Wheeler

Williams

Shandall

2002

Cardiovascular Surgery

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Twenty-eight consecutive patients underwent sugery of the abdominal aorta by the left retroperitoneal approach. There were 11 suprarenal. 12 juxtarenal, three complicated infrarenal aneurysms and two occlusive aortoiliac disease (considered to be at high risk) undergoing surgical repair. Twenty-one underwent a tube graft repair whilst seven had a bifurcation graft. There were five deaths in this series; four of which occurred in the initial 12 patients. In our initial experience using the left retroperitoneal approach the overall mortality rate was 17%, though this reduced to 6% for the latter half of the study. The retroperitoneal approach allows access to the supracoeliac aorta without the need for thoracotomy and this approach should be considered for all aortoiliac reconstructive surgery. The transabdominal route to the abdominal aorta remains the most commonly used approach. However, the left retroperitonal approach offers advantages in high-risk patients and suprarenal and juxtarenal abdominal aortic aneurysms (AAA). This is our initial experience of 28 patients undergoing surgical repair of the abdominal aorta via the left retroperitoneal approach.

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Section: Discussionmentioning

confidence: 99%

“…The complicated infrarenal aortic aneurysms included one patient who had undergone multiple laparotomies previously and two with severe cardiac problems who had a history of back pain. The median (range) diameter of the aortic aneurysm at its greatest measurement was 6.5 (4)(5)(6)(7)(8)(9)(10)(11) em.…”

Section: Methodsmentioning

confidence: 99%