Laparoscopy-assisted abdominal aortic aneurysm repair: first case reports from Japan.
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.
Matsumoto
Yasuhisa
Y
Department of Surgery II, Kochi Medical School, Japan.
Nishimori
Hideaki
H
Yamada
Hideo
H
Yamamoto
Akira
A
Okazaki
Yasunaga
Y
Kusume
Ken-ichi
K
Hata
Atsushi
A
Toshimitsu
Yasuko
Y
Yamamoto
Masaki
M
Sasaguri
Shiro
S
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