Minimally invasive vascular surgery for repair of infrarenal abdominal aortic aneurysm with iliac involvement

Abstract

The MIVS technique allowed earlier postoperative recovery with comparable morbidity and mortality rates with the conventional technique and, therefore, saved hospital stay length and total hospitalization charges. Thus, the MIVS technique is considered as a new and effective minimally invasive technique for open AAA repair.

A Shorter Skin Incision Technique for the Repair of Infrarenal Abdominal Aortic Aneurysms

“…20 We selected a laparotomy approach for AAA repair rather than a retroperitoneal approach, and believe it is important to undertake these procedures while taking note of the intestinal color during the operation. Matsumoto et al 7 were able to perform distal anastomoses at the external iliac level by changing the position of the patient during the operation. However, it is possible that the entire procedure could not be performed using this method because the operating fi eld is limited.…”

“…[3][4][5] We believe that the gold standard for an AAA is endoaneurysmorrhaphy (EA) with intraluminal graft placement as described by Creech,6 because EA has a lower degree of reintervention in comparison to an endovascular aneurysm repair regarding the long-term results. To decrease the incidence of complications and improve the postoperative course, Matsumoto et al 7 developed a surgical technique for AAA repair using a mini-laparotomy that allows anastomoses to be carried out even at the external iliac level via a limited abdominal incision. The mean abdominal incision length for this procedure was 8.4 cm.…”

Mini-invasive Aortic Surgery: Personal Experience

“…9 Contrary to previous experience, we preferred the jackknife position, which, in our opinion, allowed the best vision of the necks. 9 Contrary to previous experience, we preferred the jackknife position, which, in our opinion, allowed the best vision of the necks.…”

Minilaparotomy Abdominal Aortic Aneurysm Repair Versus the Retroperitoneal Approach and Standard Open Surgery

“…Matsumoto et al stated that the slightly reversed jack-knife position enabled exposure of even the external iliac artery without extending the minimal incision. 9 Minilaparotomy repair has several advantages; namely, it allows complete exposure of the infrarenal aorta and the proximal iliac vessels, it requires only equipment commonly found in most operating rooms, and it can be easily performed by a competent vascular surgeon. However, MINI repair is not suitable for all patients with an AAA.…”

“…[7][8][9] Furthermore, the small incision can be easily extended to expose the distal iliac arteries, if needed, unlike the retroperitoneal approach. 10 However, minilaparotomy aortic surgery is a difficult procedure that requires vascular anastomosis and dissection in a limited operative field.…”