Endovascular Infrarenal Aortic Aneurysm Repair Combined With Laparoscopic Cholecystectomy

Wolosker, Nelson; Mendes, Cynthia de Almeida; Jacob, Carlos Eduardo; Wolosker, Ângela Maria Borri; Puech-Leão, Pedro

doi:10.1590/s1807-59322010000700015

Cited by 6 publications

(6 citation statements)

References 8 publications

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“…3 In patients with concomitant AAA and acute cholecystitis, there are no literature data about the safety of separate EVAR and cholecystectomy procedures. There is only 1 previous relative case report in English literature, 7 and from this case and from our experience seems that the simultaneous EVAR and LCE was simple, lowered the morbidity and mortality, and had the advantage of early feeding and mobilization of the patient. An alternative approach has been reported and includes open retroperitoneal AAA repair combined with LCE.…”

Section: Discussionmentioning

confidence: 47%

Abdominal Aortic Aneurysm With Symptomatic Cholelithiasis

Pitoulias

Papaziogas

Atmatzidis

et al. 2012

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Asymptomatic cholelithiasis with abdominal aortic aneurysm (AAA) is one of few ideal fields for simultaneous "open" repair. In AAA cases with acute lithiasic cholecystitis, the simultaneous open repair is debatable due to increased possibility for prosthetic graft contamination. We report a case of a 78-year-old, ASA IV patient suffering from acute cholecystitis and concomitant (62 mm) AAA. The patient was treated by simultaneous endovascular AAA repair with a bifurcated prosthesis Endurant and laparoscopic cholecystectomy. Operative time was 165 minutes with total blood loss <100 mL. The patient fed and mobilized the second postoperative day, and the course until patients' discharge the sixth day was uneventful. Follow-up imaging at first month confirmed the successful aneurysm's exclusion without endoleak or migration. The simultaneous endovascular AAA repair and laparoscopic cholecystectomy seems to be simple, safe, and effective technique and minimized the possibility of local and systemic postoperative complications.

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Section: Discussionmentioning

confidence: 47%

Abdominal Aortic Aneurysm With Symptomatic Cholelithiasis

Pitoulias

Papaziogas

Atmatzidis

et al. 2012

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…This patient had a combination of two life-threatening diseases. Staged surgery is an option, but because of the risks of AAA rupture and cancer progression, combined with the feasibility and the safety of a one-stage open or endovascular aortic repair, associated with open or laparoscopic treatment of other abdominal disease, 1,4,[9][10][11] the latter was our choice.…”

Section: Discussionmentioning

confidence: 99%

One-step Endovascular Aortic Aneurysm Repair With CO2 contrast and Robotic Partial Nephrectomy for Renal Cell Carcinoma: Case Report

Louzada

Wolosker

Astolfi

et al. 2022

Vasc Endovascular Surg

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Introduction Although rare, as the population ages, abdominal aortic aneurysm synchronous to abdominal malignancies, as renal cell carcinoma, is expected to become more prevalent. There are only two case reports of minimally invasive surgeries to treat these synchronous diseases, with endovascular aortic repair and laparoscopic nephrectomy, but they were performed in two stages, with iodinated contrast and without robotic assistance. Case report We herein present a case of a 71-year-old patient with chronic kidney disease, a 6.4 cm infra-renal abdominal aortic aneurysm associated and a suspicious 6 cm solid-cystic expansile lesion in the right kidney, successfully treated at one stage with endovascular aortic repair using carbon dioxide as a contrast medium and with robotic right partial nephrectomy, aiming to preserve the renal function as much as possible. The patient’s postoperative course was free of complications with hospital discharge on the fifth postoperative day, with a serum creatinine of 0.84 mg/dL. Conclusion single-stage minimally invasive surgical treatment of AAA and RCC can be a safe and feasible approach. Combining a robot-assisted laparoscopic partial nephrectomy with an EVAR using carbon dioxide as a contrast medium was safe and successfully preserved renal function.

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“…Open techniques have been proposed for the treatment of complex aorto-iliac disease, but these cases involve high risks of bleeding, wound infection, and mortality. Endovascular techniques have been used to decrease these risks by reducing bleeding, the need for blood transfusion, operative time, and infection 7,8…”

Section: Discussionmentioning

confidence: 99%

“…Endovascular techniques have been used to decrease these risks by reducing bleeding, the need for blood transfusion, operative time, and infection. 7 , 8 …”

Section: Discussionmentioning

confidence: 99%