Total Laparoscopic Aortobifemoral Bypass

Rémy, P.; Deprez, Alyson; D'hont, Ch.; Lavigne, Jean-Paul; Massin, H.

doi:10.1016/j.ejvs.2004.10.004

Cited by 36 publications

(19 citation statements)

References 8 publications

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“…Previous series have already demonstrated that these well-known advantages of laparoscopy were also valid after laparoscopic aortic surgery. 8,9,21,[24][25][26][27][28][29][30] We did not observe adverse events after a median follow-up of 19 months. These data are similar to those of open repair and demonstrate the mid-term reliability of laparoscopic JAAA repair.…”

Section: Discussioncontrasting

confidence: 48%

Total laparoscopic juxtarenal abdominal aortic aneurysm repair

Coggia

Cerceau

Centa

et al. 2008

Journal of Vascular Surgery

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Section: Discussioncontrasting

confidence: 48%

Total laparoscopic juxtarenal abdominal aortic aneurysm repair

Coggia

Cerceau

Centa

et al. 2008

Journal of Vascular Surgery

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“…Median blood loss was 1125 mL (range 100-5800), median intensive care unit stay was one day (range 1-16) and median hospital stay was five days (range 3-57). Patients resumed normal diet at a median of two days after surgery (range [2][3][4][5][6][7][8][9][10][11][12][13][14] and resumed ambulation at a median of two days (range 1-20) (see Table 3). …”

Section: Resultsmentioning

confidence: 99%

“…Clinical for aortobifemoral bypass and 113 min (range 58-218) for aortoiliac endarterectomy. Median set-up time for the robotic system was nine minutes (range [6][7][8][9][10][11][12][13][14]. Median blood loss was 1125 mL (range 100-5800), median intensive care unit stay was one day (range 1-16) and median hospital stay was five days (range 3-57).…”

Section: Resultsmentioning

confidence: 99%

Mid-term results of robot-assisted laparoscopic surgery for aortoiliac occlusive disease

et al. 2011

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The aim of this study was to evaluate middle-term clinical results of robot-assisted laparoscopic surgery (RALS) to treat aortoiliac occlusive disease (AIOD). Between 2002 and 2007, 28 consecutive patients received robot-assisted laparoscopic aortobifemoral bypass grafting (n = 24) or aortoiliac endarterectomy (n = 4). Patients were followed prospectively. RALS could be completed successfully in 24 patients; conversion to open surgery was necessary in four patients (14%). Median operative time was 350 min. Median aortic clamping time was 70 min. Median hospital stay was five days. One patient died within 30 days. Non-lethal complications occurred in four patients (14%). Clinical symptoms improved in all patients. Primary and secondary limb-based patencies at 36 months were 89% and 91%, respectively. In conclusion, RALS is a feasible and durable technique for patients with AIOD. Although operative times are long, RALS allows rapid postoperative recovery.

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“…Compared to various larger series [4,7,9,12,14,15], the aortic anastomosis time and the aortic clamp time in this series became acceptable after the first 8 patients. In our institution patients are treated by endovascular techniques for aortoiliac occlusive disease, and only a few patients need surgery.…”

Section: Discussionmentioning

confidence: 86%

Robot-assisted laparoscopic surgery of the infrarenal aorta

et al. 2007

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Background: Recently introduced robot-assisted laparoscopic surgery (RALS) facilitates endoscopic surgical manipulation and thereby reduces the learning curve for (advanced) laparoscopic surgery. We present our learning curve with RALS for aortobifemoral bypass grafting as a treatment for aortoiliac occlusive disease. Methods: Between February 2002 and May 2005, 17 patients were treated in our institution with robot-assisted laparoscopic aorto-bifemoral bypasses. Dissection was performed laparoscopically and the robot was used to make the aortic anastomosis. Operative time, clamping time, and anastomosis time, as well as blood loss and hospital stay, were used as parameters to evaluate the results and to compare the first eight (group 1) and the last nine patients (group2). Results: Total median operative, clamping, and anastomosis times were 365 min (range: 225-589 min), 86 min (range: 25-205 min), and 41 min (range: 22-110 min), respectively. Total median blood loss was 1,000 ml (range: 100-5,800 ml). Median hospital stay was 4 days (range: 3-57 days). In this series 16/18 anastomoses were completed with the use of the robotic system. Three patients were converted (two in group 1, one in group 2), and one patient died postoperatively (group 1). Median clamping and anastomosis times were significantly different between groups 1 and 2 (111 min Conclusions: Robot-assisted aortic anastomosis was shown to have a steep learning curve with considerable reduction of clamping and anastomosis times. However, due to a longer learning curve for laparoscopic dissection of the abdominal aorta, operation times were not significantly shortened. Even with robotic assistance, laparoscopic aortoiliac surgery remains a complex procedure.

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Total Laparoscopic Aortobifemoral Bypass

Abstract: Aorto-bifemoral bypass using a total laparoscopic approach can be performed safely. As all new techniques, a learning curve is observed. This new technique should be evaluated in a larger randomised trial to assess its clinical value in comparison to conventional surgery.

Cited by 36 publications

References 8 publications

Total laparoscopic juxtarenal abdominal aortic aneurysm repair

Total laparoscopic juxtarenal abdominal aortic aneurysm repair

Mid-term results of robot-assisted laparoscopic surgery for aortoiliac occlusive disease

Robot-assisted laparoscopic surgery of the infrarenal aorta

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