Author:

Keywords:

Adult, Aged, Aorta, Abdominal, Arterial Occlusive Diseases, Blood Vessel Prosthesis Implantation, Esthetics, Female, Femoral Artery, Hernia, Humans, Iliac Artery, Laparoscopy, Male, Middle Aged, Prospective Studies, Treatment Outcome, Vascular Patency, Science & Technology, Life Sciences & Biomedicine, Surgery, Peripheral Vascular Disease, Cardiovascular System & Cardiology, hand-assisted laparoscopy, aortobifemoral bypass, aorto-iliac occlusive disease, minimal invasive surgery, NEPHRECTOMY, 1102 Cardiorespiratory Medicine and Haematology, 1103 Clinical Sciences, Cardiovascular System & Hematology, 3201 Cardiovascular medicine and haematology, 3202 Clinical sciences

Abstract:

OBJECTIVES: To evaluate the early and mid-term results of hand-assisted laparoscopic surgery (HALS) for aorto-iliac reconstruction. DESIGN: Prospective survey. MATERIALS AND METHODS: Between February 2002 and January 2004, 46 patients received an aortobifemoral bypass for advanced occlusive disease by HALS. RESULT: There was one conversion to open surgery. Mortality was 4.5%. The median return to solid oral diet took 36 h (24-182), the median hospital stay was 5 days (3-26). Primary patency rate at 1 year was 97.5%. The incidence of incisional hernia was 19.5%. CONCLUSIONS: HALS aorto-iliac reconstruction should be considered as a minimal invasive technique with good early and mid-term results.