Laparoscopic thrombendarterectomy of the infrarenal aorta

Citation
L. Barbera et al., Laparoscopic thrombendarterectomy of the infrarenal aorta, SURG LA E P, 9(6), 1999, pp. 426-429
Citations number
10
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery
Journal title
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
ISSN journal
1051-7200 → ACNP
Volume
9
Issue
6
Year of publication
1999
Pages
426 - 429
Database
ISI
SICI code
1051-7200(199912)9:6<426:LTOTIA>2.0.ZU;2-H
Abstract
The aim was to perform a totally laparoscopic thrombendarterectomy (TEA) of the infrarenal aorta to reduce the trauma connected to the surgical approa ch. A 52-year-old man was referred to our institution with severe claudicat ion. Angiography revealed a subtotal stenosis of the infrarenal aorta. Beca use the lesion was not suitable for an interventional procedure, a TEA was planned. The surgery was performed through Six ports using a transperitonea l approach with pneumoperitoneum. The laparoscopic TEA was carried out acco rding to the standards of open vascular surgery. The surgery time was 285 m inutes, the;crossclamping lasted 105 minutes, and the blood loss was 100 mL . The angiographic and functional results were excellent. The patient exper ienced a rapid recovery and was discharged after 6 days. This case report s hows the feasibility of totally laparoscopic TEA of the infrarenal aorta. T he well-known advantages of minimally invasive techniques in abdominal surg ery with regard to the decrease of surgical trauma may also be valid in aor tic surgery for occlusive disease.