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Updated: Aug 13, 2026
Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model
Published on: November 24, 2014
Total laparoscopic aortobifemoral bypass
Ph Remy1, A-F Deprez, Ch D'hont
1Department of Cardio Vascular and Thoracic Surgery, Hôpital Saint-Joseph, 6060 Gilly, Hainaut, Belgium. phiremy@skynet.be
Aim:
To assess the feasibility of aortobifemoral bypass by a laparoscopic approach.
Material And Methods:
During November 2002 through July 2003 a total of 21 patients with aorto-iliac occlusive disease underwent total laparoscopic aortobifemoral bypass surgery.
Results:
The median operative time was 240 (range 150-420) min with a median aortic cross-clamp time of 60 (30-120) min. Operating time was reduced with experience. The median blood loss was 500 (100-2500) ml. One conversion to open surgery for acute dilation of the small bowel was necessary. Post-operative complications occurred in five patients (coagulation problems, disseminated intravascular coagulation secondary to thrombosis of the left limb, cerebro-vascular accident, dyspnoea, lymph leak) and there was no peri-operative death. Median hospital stay was 7 (5-30) days.
Conclusion:
Aorto-bifemoral bypass using a total laparoscopic approach can be performed safely. As all new techniques, a learning curve is observed. This new technique should be evaluated in a larger randomised trial to assess its clinical value in comparison to conventional surgery.
