Acta chirurgica Belgica · 2003 · 11 citations · 14 references
MedicineSurgeryCardiothoracic SurgeryGeneral SurgeryVascular SurgeryAortic SurgeryHand SurgeryLaparoscopic SurgeryMinimally Invasive SurgeryAortic Cross-clampingAortoiliac Occlusive DiseaseHospital Stay DurationLaparoscopic Port SystemsLaparoscopic-assisted SurgeryOperative Morbidity
INTRODUCTION: Since a few years vascular surgeons are developing laparoscopic vascular techniques. We report our preliminary results in this area, using the hand-assisted technique. MATERIALS AND METHODS: Twenty-five patients were operated between February and December 2001 using the HandPort-system. Indications were occlusive aortoiliac disease or infrarenal aortoiliac aneurysmal disease. RESULTS: Mean operating time was 180'; mean aortic clamping time was 37'; mean blood loss was 521 mL. Mean laparotomy length was 7.9 cm. A conversion to a larger laparotomy was necessary in two patients. Mean hospital stay was seven days. Operative mortality was 4% (one postoperative death). CONCLUSIONS: Hand-assisted laparoscopic aortoiliac surgery is feasible in community hospital settings.
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