Total laparoscopic versus conventional abdominal aortic aneurysm repair: A case-control study

Coggia, Marc; Javerliat, Isabelle; Centa, Isabelle Di; Alfonsi, Pascal; Colacchio, Giovanni; Kitzis, M; Goëau-Brissonnière, Olivier

doi:10.1016/j.jvs.2005.06.035

Cited by 51 publications

(52 citation statements)

References 21 publications

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“…Some studies have shown that the time to first flatus is 2-3 PODs and the time to resuming a diet is 4-8 PODs following transperitoneal abdominal aortic surgery [6,9,10,17]. Similar to previous reports, the number of days to first flatus and to resuming food intake was 2.35 and 3.86 days, respectively, in our control group.…”

Section: Discussionsupporting

confidence: 87%

“…Furthermore, reports indicate that early oral intake does not reduce the duration of postoperative ileus or increase the rate of nasogastric tube reinsertion significantly [6]. Minimally invasive surgery, such as minilaparotomy, laparoscopic procedures, and endovascular surgery, may lead to earlier recovery of postoperative bowel function and shorter hospital stays, because of reduced tissue trauma [7][8][9][10][11]. However, minimally invasive techniques are not available for all surgical procedures and we must devise new surgical techniques to address these issues.…”

Section: Introductionmentioning

confidence: 99%

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Gum chewing enhances early recovery of bowel function following transperitoneal abdominal aortic surgery

et al. 2012

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Gum chewing enhances early recovery of bowel function following transperitoneal abdominal aortic surgery

et al. 2012

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“…However, the greater part of this procedure consists of the laparoscopic dissection of the abdominal aorta. From our search into the ''best'' approach, and because of the technical challenge of this advanced laparoscopic procedure (e.g., control of bleeding [6]), we have yet to complete our learning curve for the laparoscopic part of this procedure before a considerable drop in operative time can be anticipated.…”

Section: Discussionmentioning

confidence: 99%

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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“…Hiromatsu and colleagues established that those patients with a skin incision of less than 15cm had a significantly smaller incidence of ileus when compared to a group of patients that had a skin incision of greater than 20cm (Hiromatsu et al, 2007). Laparoscopic repair has also demonstrated a shorter period of ileus and a quicker return to diet when compared to open repair (Coggia et al, 2005).…”

Section: Risk Factorsmentioning

confidence: 99%