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Hand-assisted laparoscopic aortoiliac surgery: preliminary report of 25 cases
E Wijtenburg1, Ph Remy, Ch D'hont
1Department of Vascular and Thoracic Surgery, Hôpital Saint Joseph, Gilly, Clinique Notre Dame de Grâce, Gosselies.
Introduction:
Since a few years vascular surgeons are developing laparoscopic vascular techniques. We report our preliminary results in this area, using the hand-assisted technique.
Materials And Methods:
Twenty-five patients were operated between February and December 2001 using the HandPort-system. Indications were occlusive aortoiliac disease or infrarenal aortoiliac aneurysmal disease.
Results:
Mean operating time was 180'; mean aortic clamping time was 37'; mean blood loss was 521 mL. Mean laparotomy length was 7.9 cm. A conversion to a larger laparotomy was necessary in two patients. Mean hospital stay was seven days. Operative mortality was 4% (one postoperative death).
Conclusions:
Hand-assisted laparoscopic aortoiliac surgery is feasible in community hospital settings.