Totally laparoscopic aortic repair: A new device for direct transperitoneal approach Jérôme Cau, MD, Jean-Baptiste Ricco, MD, PhD, Amar Deelchand, MD,

Slides:

Advertisements

Similar presentations

Robot-assisted laparoscopic repair of renal artery aneurysms

Advertisements

Laparoscopy-assisted abdominal aortic aneurysm repair: Early and middle-term results of a consecutive series of 122 cases Mauro Ferrari, MD, Daniele.

Totally laparoscopic abdominal aortic aneurysm repair

Total laparoscopic renal artery bypass for restenosis after failed percutaneous transluminal renal stenting Jérôme Cau, MD, Jean Baptiste Ricco, MD,

Transverse minilaparotomy for open abdominal aortic aneurysm repair

Mark J.W. Koelemay, MD, PhD Journal of Vascular Surgery

Laparoscopic aortic surgery: Techniques and results

Richard T. Purdy, M. D. , Frederick C. Beyer, M. D. , William D

Robotic-assisted aortic surgery with and without minilaparotomy for complicated occlusive disease and aneurysm Judith C. Lin, MD, Sanjeev A. Kaul, MD,

Age-related trends in utilization and outcome of open and endovascular repair for abdominal aortic aneurysm in the United States, Margaret.

Three trocars laparoscopic abdominal aortic aneurysm repair

William D. Turnipseed, MD Journal of Vascular Surgery

Totally videoendoscopic descending thoracic aorta-to-femoral artery bypass Sumio Fukui, MD, Nikolaos Paraskevas, MD, Patrick Soury, MD, Frédéric Gigou,

Robot-assisted aortoiliac reconstruction: a review of 30 cases

Aortoduodenal fistula 5 years after endovascular abdominal aortic aneurysm repair with the Ancure stent graft Blaine J. Ruby, MD, Thomas H. Cogbill,

Totally laparoscopic aortic repair: A new device for direct transperitoneal approach Jérôme Cau, MD, Jean-Baptiste Ricco, MD, PhD, Amar Deelchand, MD,

Don't trust a vein graft to treat carotid aneurysm in patients with Behçet disease Xavier Berard, MD, Jean-Marc Corpataux, MD, Habib Taoufiq, MD, Gerard.

Yves-Marie Dion, MD, MSc, FACS, FRCSC, Carlos R. Gracia, MD, FACS

Role of type II endoleak in sac regression after endovascular repair of infrarenal abdominal aortic aneurysms Jared Kray, DO, Spencer Kirk, DO, Jan Franko,

Sang-Jun Park, MD, Mi-Na Kim, MD, Tae-Won Kwon, MD, PhD

Laparoscopic inferior mesenteric-gonadal vein bypass for the treatment of nutcracker syndrome Danfeng Xu, MD, Yi Gao, MD, Jie Chen, MD, Junkai Wang,

Graft reconstruction to treat disease of the abdominal aorta in patients with colostomies, ileostomies, and abdominal wall urinary stomata Ralph W. DeNatale,

Hybrid treatment of an ascending aortic pseudoaneurysm following multiple sternotomies Vito Giovanni Ruggieri, MD, Romain Malezieux, MD, Najeebullah.

Three trocars laparoscopic abdominal aortic aneurysm repair

The influence of gender and aortic aneurysm size on eligibility for endovascular abdominal aortic aneurysm repair Matthew P. Sweet, MD, Mark F. Fillinger,

Abdominal aortic aneurysm repair: The carotid approach

Karan Garg, MD, Todd L. Berland, MD, Frank J. Veith, MD, Neal S

Totally laparoscopic aortobifemoral bypass: A review of 22 cases

Total laparoscopic juxtarenal abdominal aortic aneurysm repair

Total videoscopic treatment of a type IV thoracoabdominal aneurysm

A technical tip for total laparoscopic type II endoleak repair

Total laparoscopic bypass for aortoiliac occlusive lesions: 93-case experience Marc Coggia, MD, Isabelle Javerliat, MD, Isabelle Di Centa, MD, Giovanni.

High prevalence of abdominal aortic aneurysms in brothers and sisters of patients despite a low prevalence in the population Anneli Linné, MD, David.

Roxana G. Kline, MD, Anthony J. D'Angelo, MD, Marie H. M

Endovascular Aneurysm Repair in the Treatment of Abdominal Aortic Invasion by Metastatic Small Cell Lung Cancer in the Duodenum Adam H. Korayem, MD,

Bitubular graft as an adjunct for laparoscopic hybrid repair of an abdominal aortic aneurysm Raphaël Coscas, MD, Clément Capdevila, MD, Olivier Goeau-Brissonniere,

Current modifications to totally laparoscopic “apron technique”

Ricardo Yoshida, MD, Ralf R

Christopher P. Twine, MD, FRCS, Ian F. Lane, MD, FRCS, Ian M

Successful surgical treatment of multilevel aortic aneurysms combined with renal transplantation Ivan Matia, MD, PhD, Jan Pirk, MD, PhD, Květoslav Lipar,

Laparoscopic aortoiliac surgery for aneurysm and occlusive disease: When should a minilaparotomy be performed? Yves S. Alimi, MD, PhD, Olivier Hartung,

Totally laparoscopic assisted thoracic aorta endograft delivery by direct sheath placement into the aorta Sumio Fukui, MD, Frédéric Gigou, MD, Mazda.

Simulation-based training to teach open abdominal aortic aneurysm repair to surgical residents requires dedicated faculty instruction William P. Robinson,

Laparoscopic-assisted treatment of abdominal aortic aneurysm requiring suprarenal cross-clamping Mauro Ferrari, MD, Daniele Adami, MD, Raffaella Berchiolli,

Anatomical repair of a congenital aneurysm of the distal abdominal aorta in a newborn Sergueï Malikov, MD, PhD, Arnauld Delarue, MD, PhD, Pierre-Olivier.

A minimally invasive approach for aortobifemoral bypass procedure

Operative results and outcome of twenty-four totally laparoscopic vascular procedures for aortoiliac occlusive disease Letterio Barbera, MD, Achim Mumme,

Laparoscopic transposition of the left renal vein into the inferior vena cava for nutcracker syndrome Olivier Hartung, MD, Amine Azghari, MD, Pierre.

Outcome of common iliac arteries after straight aortic tube-graft placement during elective repair of infrarenal abdominal aortic aneurysms Réda Hassen-Khodja,

Combined endovascular and surgical approach (CESA) to thoracoabdominal aortic pathology: A 10-year experience William Quinones-Baldrich, MD, Juan Carlos.

Philippe Piquet, MD, Philippe Amabile, MD, Gilles Rollet, MD

The use of an aortoiliac side-arm conduit to maintain distal perfusion during thoracoabdominal aortic aneurysm repair Kenneth Ouriel, MD Journal of.

Anthony Carnicelli, BA, Adam Doyle, MD, Michael Singh, MD

Axillobifemoral bypass and aortic embolization for the treatment of two patients with ruptured infrarenal aortic aneurysms David Coleman, MD, Theodore.

Hypogastric artery bypass to preserve pelvic circulation: improved outcome after endovascular abdominal aortic aneurysm repair Frank R Arko, MD, W.Anthony.

Laparoscopic aortofemoral bypass grafting: Human cadaveric and initial clinical experiences Samir Said, MD, Julian Mall, MD, Frank Peter, MD, Joachim.

Aortoiliac surgery in renal transplant patients

Totally laparoscopic explantation of migrated stent graft after endovascular aneurysm repair: A report of two cases Judith C. Lin, MD, Ralf Kolvenbach,

Journal of Vascular Surgery

Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report Roel Hobo, MSc, Jacob Buth,

Regarding “Vascular abnormalities in patients with neurofibromatosis syndrome type I: Clinical spectrum, management, and results” John B. Chang, MD,

Total laparoscopic suprarenal aortic coral reef removal

Long-term dilatation of polyester and expanded polytetrafluoroethylene tube grafts after open repair of infrarenal abdominal aortic aneurysms Peter L.

Type B aortic dissection after endovascular abdominal aortic aneurysm repair causing endograft collapse and severe malperfusion Vikram Iyer, MD, Mark.

Sang-Jun Park, MD, Mi-Na Kim, MD, Tae-Won Kwon, MD, PhD

Luke S. Erdoes, MD, Timothy P. Milner, MD Journal of Vascular Surgery

A staged replacement of the entire aorta from the ascending arch to the hypogastric arteries using a hybrid approach Juan Carlos Jimenez, MD, Wesley.

Thomas L. Forbes, MD, Gregory E.J. Harding, MD

Endovascular repair of two abdominal aortic aneurysms

Open repair of abdominal aortic aneurysm in a centenarian

Presentation transcript:

Totally laparoscopic aortic repair: A new device for direct transperitoneal approach Jérôme Cau, MD, Jean-Baptiste Ricco, MD, PhD, Amar Deelchand, MD, Xavier Berard, MD, Bernard Cau, MD, Michel Costecalde, MD, Xavier Chaufour, MD, François Barret, BA, André Barret, MD, Jean-Pierre Bossavy, MD Journal of Vascular Surgery Volume 41, Issue 5, Pages 902-906 (May 2005) DOI: 10.1016/j.jvs.2005.01.038 Copyright © 2005 The Society for Vascular Surgery. Terms and Conditions

Fig 1 Front view of the retractor device (A). The retractor net provides a retaining barrier that holds the small intestine and fourth duodenum back throughout the procedure, thus enabling a direct transperitoneal approach to the infrarenal abdominal aorta. A major advantage of this retractor is automatic deployment in the abdominal cavity (B and C). Journal of Vascular Surgery 2005 41, 902-906DOI: (10.1016/j.jvs.2005.01.038) Copyright © 2005 The Society for Vascular Surgery. Terms and Conditions

Fig 2 A, Position of surgical staff. 1, First surgeon; 2, first surgical assistant; 3, second surgical assistant holding the camera. B, Placement of the laparoscopic trocars. 1, Camera; 2 and 3, dissecting instruments and needle holder; 4, assistant operating channel (lavage-suction-fenestrated forceps); 5, bowel retractor; 6, distal aortic clamp; 7, proximal aortic clamp. Journal of Vascular Surgery 2005 41, 902-906DOI: (10.1016/j.jvs.2005.01.038) Copyright © 2005 The Society for Vascular Surgery. Terms and Conditions

Fig 3 Transverse section showing the laparoscopic direct transperitoneal approach to the abdominal aorta. The bowel retractor device gathers the intestinal loops into the right side of the abdomen and provides a large cavity for endoanastomosis. This approach provides wide exposure of the right common iliac artery. The transverse colon, not seen here, is pushed upward by the retractor and by the proximal aortic clamp introduced through the infraxiphoid trocar. Journal of Vascular Surgery 2005 41, 902-906DOI: (10.1016/j.jvs.2005.01.038) Copyright © 2005 The Society for Vascular Surgery. Terms and Conditions

Fig 4 Exposure of the aorta. Operative view showing the laparoscopic exposure achieved after placement of the bowel retractor. The aorta and left renal vein (LRV) are fully exposed. The duodenum and ligament of Treitz are retained by the retractor. Journal of Vascular Surgery 2005 41, 902-906DOI: (10.1016/j.jvs.2005.01.038) Copyright © 2005 The Society for Vascular Surgery. Terms and Conditions

Fig 5 Proximal aortic anastomosis. Operative view showing an aortic bypass with the graft in place and the aneurysmal sac open (AAA). The retractor acts as a retaining barrier that holds the intestinal loops and the duodenum out of the operative field. The transverse colon, not seen here, is pushed upward by the proximal aortic clamp introduced through the infraxiphoid trocar. Journal of Vascular Surgery 2005 41, 902-906DOI: (10.1016/j.jvs.2005.01.038) Copyright © 2005 The Society for Vascular Surgery. Terms and Conditions