BACKGROUND: Laparoscopic aortic surgery (LAS), performed since 1993, has undergone a number of technical improvements during recent years. The published results are comparable with those for open surgery. The aim of this article is to present the method with a focus on technical details, and at the same time present our experience with this technique. MATERIAL AND METHODS: Eight patients with debilitating intermittent claudication were operated with a total laparoscopic aortofemoral bypass. Operations were performed through a transperitoneal retrorenal approach. Median age of the patients was 61 years (range 51-76). All patients had an aortoiliac occlusive disease of type D according to the Transatlantic Inter Society Consensus (TASC). Prior to the procedures an operation team followed a structured training programme that comprised using a training model and operating on pigs, and visited an international referral centre. RESULTS AND INTERPRETATION: All operations were successfully performed. No patient developed per- or post-operative complications. Median post-operative hospital stay was four days. LAS is a technically demanding procedure and it can be established through well targeted and carefully planned training.
BACKGROUND: Laparoscopic aortic surgery (LAS), performed since 1993, has undergone a number of technical improvements during recent years. The published results are comparable with those for open surgery. The aim of this article is to present the method with a focus on technical details, and at the same time present our experience with this technique. MATERIAL AND METHODS: Eight patients with debilitating intermittent claudication were operated with a total laparoscopic aortofemoral bypass. Operations were performed through a transperitoneal retrorenal approach. Median age of the patients was 61 years (range 51-76). All patients had an aortoiliac occlusive disease of type D according to the Transatlantic Inter Society Consensus (TASC). Prior to the procedures an operation team followed a structured training programme that comprised using a training model and operating on pigs, and visited an international referral centre. RESULTS AND INTERPRETATION: All operations were successfully performed. No patient developed per- or post-operative complications. Median post-operative hospital stay was four days. LAS is a technically demanding procedure and it can be established through well targeted and carefully planned training.
Authors: Syed S H Kazmi; Jørgen Junkichi Jørgensen; Jon Otto Sundhagen; Anne Helene Krog; Tor L Flørenes; Dagfinn Kollerøs; Michael Abdelnoor Journal: Vasc Health Risk Manag Date: 2015-09-18
Authors: Anne Helene Krog; Mehdi Sahba; Erik M Pettersen; Torbjørn Wisløff; Jon O Sundhagen; Syed Sh Kazmi Journal: Vasc Health Risk Manag Date: 2017-06-19