J Korean Surg Soc.  2005 Sep;69(3):269-272.

Laparoscopic-assisted Aortofemoral Bypass

• Lee T
• Kim HH
• Han HS
• Choi YS
• Lee SI
• Ha J
• Chung JK
• Kim SJ

Abstract

Laparoscopic-assisted aortofemoral bypass was performed in three patients. The operative indications were resting pain, ischemic ulcer, incapacitating claudication respectively. Five or six ports were used under the pneumoperitoneum for the procedure (six ports of 0.5 to 1.5 cm and one extended incision of 3.0 cm from the port site). The laparoscopic technique consists of the creation of flap to separate the small intestine, aorta dissection, and graft positioning. Vascular control, proximal, and distal anastomosis were used with a conventional or laparoscopic technique. The operative times of the case was 8 hours, 7 hours, and 7 hours, respectively. The patients were able to tolerate a regular diet within 2 days of the operation. They had minimal postoperative pain and were discharged within 7 days of the operation. These three cases demonstrate the feasibility of laparoscopic aorta surgery.

Keyword

Laparoscopy; Aortofemoral bypass

MeSH Terms

Aorta
Diet
Humans
Intestine, Small
Laparoscopy
Operative Time
Pain, Postoperative
Pneumoperitoneum
Transplants
Ulcer