Total laparoscopic juxtarenal abdominal aortic aneurysm repair

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Presentation transcript:

Total laparoscopic juxtarenal abdominal aortic aneurysm repair Marc Coggia, MD, Pierre Cerceau, MD, Isabelle Di Centa, MD, Isabelle Javerliat, MD, Giovanni Colacchio, MD, Olivier Goëau- Brissonnière, MD, PhD Journal of Vascular Surgery Volume 48, Issue 1, Pages 37-42 (July 2008) DOI: 10.1016/j.jvs.2008.02.021 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Drawing shows the patient position, sites of trocar insertion, and basic setup of operating room equipment and personnel. Personnel are the operating surgeon, A; assistant for the laparoscope, B; assistant for instrumentation, C; and nurse, D. Trocar sites are for the 45° laparoscope, 1; operator instruments, 2 and 3; assistant instrumentation, 4 and 5; laparoscope and assistant instrumentation, 6; endoretractor, 7; and proximal aortic clamp, 8. Journal of Vascular Surgery 2008 48, 37-42DOI: (10.1016/j.jvs.2008.02.021) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 Drawing shows the positioning of suprarenal laparoscopic clamp through a port introduced in the left flank. A retractor maintains the viscera in the right part of the abdomen. Journal of Vascular Surgery 2008 48, 37-42DOI: (10.1016/j.jvs.2008.02.021) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 Operative view shows preparation of the infrarenal aorta for proximal anastomosis under suprarenal clamping. The arrow is pointing to the left renal artery. Journal of Vascular Surgery 2008 48, 37-42DOI: (10.1016/j.jvs.2008.02.021) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 4 (A), Operative view shows the proximal anastomosis with a Teflon cuff to reinforce the suture line and (B) after unclamping. The arrow points to the left renal artery. Journal of Vascular Surgery 2008 48, 37-42DOI: (10.1016/j.jvs.2008.02.021) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions