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Laparoscopic assisted aortic surgery. A review.

R Kolvenbach1, M Ferrari, E G Shifrin

  • 1Department of Vascular Surgery and Endovascular Therapy, Augusta Hospital, Duesseldorf, Germany. kolvenbach@VKKD-kliniken.de

The Journal of Cardiovascular Surgery
|October 13, 2006
PubMed
Summary
This summary is machine-generated.

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Laparoscopic assisted aortic surgery offers reduced recovery times and shorter hospital stays for abdominal aortic aneurysm (AAA) patients. This technique, including hand-assisted laparoscopy, proves safe and efficient for complex aortic repairs.

Area of Science:

  • Vascular Surgery
  • Minimally Invasive Surgery
  • Surgical Innovation

Background:

  • Laparoscopic assisted techniques are evolving for aortic surgery.
  • Two vascular centers have combined experience from over 524 procedures.
  • Traditional open surgery for abdominal aortic aneurysms (AAA) involves significant recovery time.

Purpose of the Study:

  • To provide an overview of various laparoscopic assisted techniques for aortic surgery.
  • To analyze the safety, efficiency, and outcomes of these procedures.
  • To compare laparoscopic assisted surgery with traditional open surgery for AAA.

Main Methods:

  • Meta-analysis of data from two vascular surgical centers.
  • Review of four laparoscopic assisted techniques: transperitoneal, hand-assisted, left retrocolic, and combined approaches.

Related Experiment Videos

  • Analysis of operative times, cross-clamping times, mortality, ICU stay, and length of hospital stay.

    • Main Results:

    • Mortality for abdominal aortic aneurysm (AAA) patients did not exceed 1.8%.
    • Laparoscopic assisted surgery resulted in significantly shorter ICU stays, reduced postoperative ileus, and shorter overall hospital stays compared to open surgery.
    • Operating times and aortic cross-clamping times were significantly reduced, even for complex cases, with times comparable to endovascular aneurysm exclusion.

    Conclusions:

    • Laparoscopic assisted aortic procedures, including hand-assisted techniques, can be performed with expediency and safety.
    • These minimally invasive techniques are suitable for complex aortic operations, including suprarenal aneurysms with revascularization.
    • Laparoscopic assisted surgery offers comparable outcomes to endovascular approaches with potential for further advancements like stapling technology.