[The surgical treatment of obliterating artery disease of the lower limbs today].
A NEW ALTERNATIVE: Vascular surgery can benefit from the advantages of the laparoscopic method, despite major technical problems (approach and control of the aorta, clamping and suture for arterial repair). Laparoscopic surgery has been used for the treatment of occlusive atheromatous aortoiliac lesions. FROM A TECHNICAL POINT OF VIEW: The first phase of laparoscopy consists in controlling the aorta from the renal arteries up to the inferior mesenteric artery. Then the arterial repair phase starts with the introduction of the prosthesis that is sewn on the aorta assisted by laparoscopy and the branches are tunnelled up to the femoral arteries where they are anastomosed. REGARDING THE RESULTS: In 24 patients having undergone laparoscopic treatment of atheromatous aortoiliac lesions, this technique led to most encouraging results and appears to be an exciting alternative to traditional surgery in selected patients.
Fukui
Sumio
S
Service de chirurgie vasculaire, Fondation-Hôpital Saint-Joseph, Paris.
D000714:Anastomosis, Surgical; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001162:Arteriosclerosis Obliterans / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007866:Leg / Q000098:blood supply