Laparoscopic aortofemoral bypass grafting: Human cadaveric and initial clinical experiences

Abstract

Laparoscopic vascular surgery seems to be a promising procedure to minimize postoperative complications. On the basis of our experience, we do not favor the TARA. Because it necessitates steep Trendelenburg positioning to displace intra-abdominal organs, the TARA is not an appropriate approach, particularly in obese and cardiopulmonary frail cases. Contrarily, the TAPA and the EPA deliver potentially better results in terms of exposing the operative field and thus reducing operating time and perioperative morbidity rates. A prospective cadaveric and clinical trial may be justified to further evaluate the use of these surgical techniques.

A comparison of embalming fluids for use in surgical workshops

“…The authors found that cadavers were an excellent model for this study as the effectiveness of each procedure could be assessed through autopsy (Milsom et al, 1994). Another group looked at the effectiveness of laparoscopic aorto-femoral bypass grafting, using cadavers to determine the efficacy of different approaches before using the procedure on patients (Said et al, 1999). These studies show the usefulness of cadavers as a model in developing and trialing new surgical skills without exposing patients to unnecessary risks.…”

Videoendoscopically assisted combined retroperitoneal and pelvic extraperitoneal approach for aortoiliac occlusive disease

“…However, Said et al [19] reported that the transabdominal retroperitoneal approach caused a burdensome sliding of the intestine into the operative field, particularly in obese patients. In their experience, the transabdominal left paracolic approach retained the intestine in the upper abdomen throughout the procedure.…”

Intestinal retractor for transperitoneal laparoscopic aortoiliac reconstruction

“…In order to reduce the consequences of large incisions, many authors have suggested performing video-assisted aortofemoral bypasses [3,5,8,11,12,14,15,16,18]. Based on experimental and clinical studies, two different approaches have been proposed, each of which has its own advantages and drawbacks.…”