Laparoscopic aortic injury leading to delayed aortoenteric fistula: an alternative technique for repair.
Complications of laparoscopic procedures occur in up to 10% of cases. The most lethal complication relates to injury of major retroperitoneal vascular structures. A case of aortoenteric fistula referred to the vascular surgical service 1 month following emergency repair of laparoscopic aortic injury is presented. A technique utilizing a saphenous vein panel graft for distal aortic repair is described. Review of reported cases demonstrates that major retroperitoneal vascular injury during laparoscopy is rare, with a reported incidence of 3 to 10/10,000 procedures, and a mortality of up to 20%. Simple suture repair is the usual form of treatment, but specialized techniques are occasionally required.
Moore
R D
RD
Section of Vascular Surgery, Peter Lougheed Centre, Calgary, Alberta, Canada.
Tittley
J G
JG
D000328:Adult; D001012:Aorta, Abdominal / Q000293:injuries*; D001018:Aortic Diseases / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology*; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology*; D010535:Laparoscopy / Q000009:adverse effects*; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology*