title: Laparoscopy-assisted abdominal aortic aneurysm repair: first case reports from Japan.
abstract: Laparoscopy-assisted abdominal aortic aneurysm (AAA) repair consists of retroperitoneal laparoscopic dissection of the AAA and graft replacement performed via a mini-laparotomy. Two patients with infrarenal AAA underwent successful straight graft replacement using this hybrid approach. The retroperitoneal space was bluntly dissected under carbon dioxide pneumoretroperitoneum and further dissection was performed laparoscopically. This enabled proximal and distal control of the aneurysm, and occlusion of the lumbar arteries and the inferior mesenteric artery with hemoclips. A 7 cm mini-laparotomy was sufficient for the straight graft replacement. Laparoscopy-assisted repair is a less invasive technique for the treatment of AAA and can be regarded as the initial step towards totally endoscopic repair.
authors.affiliation: Department of Surgery II, Kochi Medical School, Japan.
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Matsumoto
authors.forename: Hideaki
authors.initials: H
authors.lastname: Nishimori
authors.forename: Hideo
authors.initials: H
authors.lastname: Yamada
authors.forename: Akira
authors.initials: A
authors.lastname: Yamamoto
authors.forename: Yasunaga
authors.initials: Y
authors.lastname: Okazaki
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Kusume
authors.forename: Atsushi
authors.initials: A
authors.lastname: Hata
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Toshimitsu
authors.forename: Masaki
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Shiro
authors.initials: S
authors.lastname: Sasaguri
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D002404:Catheterization / Q000295:instrumentation; D004867:Equipment Design; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008297:Male; D014656:Vascular Surgical Procedures / Q000295:instrumentation