Document Detail

Total laparoscopic aortic repair for occlusive and aneurysmal disease: first 95 cases.
MedLine Citation:
PMID:  16414294     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To analyze the outcome of our preliminary experience with total laparoscopic aortic repair in patients with occlusive or aneurysmal disease. MATERIAL AND METHODS: From September 2002 to April 2005, we performed 95 consecutive total laparoscopic aortic repair procedures including 72 for aortic occlusive disease (group A) and 23 for abdominal aortic aneurysm (group B). RESULTS: In group A, mean operating time was 216+/-50 min with a mean clamp time of 57+/-21 min and surgical conversion was required in two cases (2.7%). No postoperative death occurred but there were three postoperative complications necessitating re-intervention (retroperitoneal hematoma, embolic ischemia, and early prosthetic infection). Mean duration of hospitalization was 8 days (range, 5-42 days). All grafts were patent at 2 months. In group B, mean operating time was 251+/-57 min with a mean clamp time of 101+/-15 min and surgical conversion was required in seven cases (30%). There was one postoperative death (4.3%) due to pulmonary embolism and one non-fatal complication (retroperitoneal hematoma). Mean duration of hospitalization was 6.4 days (range, 4-12 days). All grafts were patent at 2 months. CONCLUSION: Total laparoscopic repair is feasible and safe for occlusive and aneurysmal aortic disease. Operators must acquire technical skills using simulators.
J Cau; J-B Ricco; C Marchand; A Lecis; H Habbibeh; M Guillou; G Febrer; J-P Bossavy
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2006-01-18
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  31     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-05     Completed Date:  2006-08-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  567-74     Citation Subset:  IM    
Vascular Surgery Department, University Hospital, Poitiers, France.
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MeSH Terms
Aged, 80 and over
Anastomosis, Surgical*
Aorta / pathology,  surgery*
Aortic Aneurysm, Abdominal / pathology,  surgery*
Arterial Occlusive Diseases / pathology,  surgery*
Blood Vessel Prosthesis Implantation*
Education, Medical, Continuing
Laparoscopy / methods*
Length of Stay
Middle Aged
Postoperative Complications
Prospective Studies
Vascular Patency

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