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Hand-assisted laparoscopic aortobifemoral bypass for occlusive disease. Early and mid-term results
I Fourneau1, K Daenens, A Nevelsteen
1Department of Vascular Surgery, University Hospital Gasthuisberg, Leuven, Brabant, Belgium. inge.fourneau@uz.kuleuven.ac.be
Objectives:
To evaluate the early and mid-term results of hand-assisted laparoscopic surgery (HALS) for aorto-iliac reconstruction.
Design:
Prospective survey.
Materials And Methods:
Between February 2002 and January 2004, 46 patients received an aortobifemoral bypass for advanced occlusive disease by HALS.
Result:
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.