Hand-assisted laparoscopic aortobifemoral bypass for occlusive disease. Early and mid-term results.
OBJECTIVE
To evaluate the early and mid-term results of hand-assisted laparoscopic surgery (HALS) for aorto-iliac reconstruction.


METHODS
Prospective survey.


METHODS
Between February 2002 and January 2004, 46 patients received an aortobifemoral bypass for advanced occlusive disease by HALS.


RESULTS
There was one conversion to open surgery. Mortality was 4.5%. The median return to solid oral diet took 36 h (24-182), the median hospital stay was 5 days (3-26). Primary patency rate at 1 year was 97.5%. The incidence of incisional hernia was 19.5%.


CONCLUSIONS
HALS aorto-iliac reconstruction should be considered as a minimal invasive technique with good early and mid-term results.
Fourneau
I
I
Department of Vascular Surgery, University Hospital Gasthuisberg, Leuven, Brabant, Belgium. inge.fourneau@uz.kuleuven.ac.be
Daenens
K
K
Nevelsteen
A
A
D000328:Adult; D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000401:mortality / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D004954:Esthetics; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006547:Hernia / Q000209:etiology; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome; D014654:Vascular Patency