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Related Experiment Videos

Laparoscopic aortic reconstruction: early experience.

Jim Dooner1, Shung Lee, William Griswold

  • 1Vancouver Island Health Authority, 1952 Bay Street, Victoria, British Columbia V8R 1J8, Canada. james.dooner@viha.ca

American Journal of Surgery
|May 2, 2006
PubMed
Summary

Laparoscopic aortobifemoral bypass grafting is a technically challenging but feasible procedure for chronic lower-limb occlusive disease. Early results show a reduced hospital stay, but operative times need improvement for widespread adoption.

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Area of Science:

  • Vascular Surgery
  • Minimally Invasive Surgery

Background:

  • Laparoscopic abdominal aortic reconstruction techniques have evolved since 1993.
  • Advances in laparoscopic tools are expanding its role in aortic reconstruction.
  • The laparoscopic approach is gaining focus due to the cost of endovascular methods and open surgery morbidity.

Purpose of the Study:

  • To determine the feasibility of laparoscopic aortobifemoral bypass grafting.

Main Methods:

  • Retrospective review of patient charts.
  • Analysis of patients undergoing laparoscopic aortobifemoral bypass grafting for chronic lower-limb occlusive disease.

Main Results:

  • Ten out of thirteen patients successfully completed the procedure.

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  • Average length of stay was 6.7 days (vs. 12 days historically).
  • Average operative time was 6.5 hours; lower blood replacement and less abdominal pain were observed. One stroke occurred postoperatively; no deaths.

    • Conclusions:

    • Laparoscopic aortobifemoral bypass grafting is technically challenging but safe and successful with adherence to key principles.
    • Widespread adoption may drive improvements in instruments and technology.
    • Early experience is encouraging, with benefits in reduced length of stay, but improved operative times are needed for true value.