Laparoscopic abdominal aortic aneurysm repair in octogenarians

Centa, Isabelle Di; Coggia, Marc; Cochennec, Frédéric; Alfonsi, Pascal; Javerliat, Isabelle; Goëau-Brissonnière, Olivier

doi:10.1016/j.jvs.2008.12.002

Cited by 11 publications

(6 citation statements)

References 38 publications

(55 reference statements)

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“…Additionally, robotic-assisted techniques (both endovascular and non-endovascular) may in the future add another dimension to aortic aneurysm repair. [29][30][31][32][33][34][35][36][37] Conclusion Laparoscopic repair is feasible in specialist centres for the management of selected patients with AAA, with similar 30-day outcomes to open repair. There are drawbacks in terms of a learning curve, the risk of post-operative haemorrhage and increased operative time.…”

Section: Discussionmentioning

confidence: 88%

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Systematic review of perioperative outcomes following laparoscopic abdominal aortic aneurysm repair

Rouhani¹,

Thapar

Maruthappu

et al. 2014

Vascular

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Section: Discussionmentioning

confidence: 88%

“…Additionally, robotic-assisted techniques (both endovascular and non-endovascular) may in the future add another dimension to aortic aneurysm repair. 29–37…”

Section: Discussionmentioning

confidence: 99%

Systematic review of perioperative outcomes following laparoscopic abdominal aortic aneurysm repair

Rouhani¹,

Thapar

Maruthappu

et al. 2014

Vascular

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“…The surgical literature contains too many uncontrolled studies. Centa et al 7 . evaluated 29 octogenarians undergoing laparoscopic abdominal aortic aneurysm (AAA) repair.…”

Section: The Control Groupmentioning

confidence: 99%

How to dissect surgical journals: V – Patients

Hall¹

2010

ANZ Journal of Surgery

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“…Perioperative outcome in patients with chronic obstructive pulmonary disease has also been shown to be more favorable with EVAR (8). Moreover, endovascular repair is associated with fewer cardiac events in the perioperative period than is open repair (9).…”

Section: Introductionmentioning

confidence: 99%

Endovascular Repair of Abdominal Aortic Aneurysms: Vascular Anatomy, Device Selection, Procedure, and Procedure-specific Complications

Bryce¹,

Rogoff²,

Romanelli³

et al. 2015

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Abdominal aortic aneurysm (AAA) is abnormal dilatation of the aorta, carrying a substantial risk of rupture and thereby marked risk of death. Open repair of AAA involves lengthy surgery time, anesthesia, and substantial recovery time. Endovascular aneurysm repair (EVAR) provides a safer option for patients with advanced age and pulmonary, cardiac, and renal dysfunction. Successful endovascular repair of AAA depends on correct selection of patients (on the basis of their vascular anatomy), choice of the correct endoprosthesis, and familiarity with the technique and procedure-specific complications. The type of aneurysm is defined by its location with respect to the renal arteries, whether it is a true or false aneurysm, and whether the common iliac arteries are involved. Vascular anatomy can be divided more technically into aortic neck, aortic aneurysm, pelvic perfusion, and iliac morphology, with grades of difficulty with respect to EVAR, aortic neck morphology being the most common factor to affect EVAR appropriateness. When choosing among the devices available on the market, one must consider the patient's vascular anatomy and choose between devices that provide suprarenal fixation versus those that provide infrarenal fixation. A successful technique can be divided into preprocedural imaging, ancillary procedures before AAA stent-graft placement, the procedure itself, postprocedural medical therapy, and postprocedural imaging surveillance. Imaging surveillance is important in assessing complications such as limb thrombosis, endoleaks, graft migration, enlargement of the aneurysm sac, and rupture. Last, one must consider the issue of radiation safety with regard to EVAR.

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Laparoscopic abdominal aortic aneurysm repair in octogenarians

Abstract: Total laparoscopic AAA repair is a worthwhile but challenging procedure in octogenarians. Laparoscopy is complementary to open surgery and EVAR in this subset. These results encourage us to offer laparoscopic AAA repair in good surgical risk octogenarians.

Cited by 11 publications

References 38 publications

Systematic review of perioperative outcomes following laparoscopic abdominal aortic aneurysm repair

Systematic review of perioperative outcomes following laparoscopic abdominal aortic aneurysm repair

How to dissect surgical journals: V – Patients

Endovascular Repair of Abdominal Aortic Aneurysms: Vascular Anatomy, Device Selection, Procedure, and Procedure-specific Complications

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