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

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Presentation transcript:

Laparoscopic aortofemoral bypass grafting: Human cadaveric and initial clinical experiences Samir Said, MD, Julian Mall, MD, Frank Peter, MD, Joachim M. Müller, MD Journal of Vascular Surgery Volume 29, Issue 4, Pages 639-648 (April 1999) DOI: 10.1016/S0741-5214(99)70309-5 Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 1 Main elements of new instrument set for laparoscopic aortoiliac surgery. Journal of Vascular Surgery 1999 29, 639-648DOI: (10.1016/S0741-5214(99)70309-5) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 2 Placement of trocars for laparoscopic aortofemoral bypass grafting with transperitoneal-retropertitoneal approach. A, Crawford clamp, alternatively Satinsky clamp; B, camera; C, needle driver, scissors, dissector; D, suction irrigator; E, aortic clamp; F, bowel retractor, G, suture holder, dissector. Journal of Vascular Surgery 1999 29, 639-648DOI: (10.1016/S0741-5214(99)70309-5) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 3 Positioning of patient, surgical team, equipment, and trocar sites during laparoscopic aortoiliac surgery with extraperitoneal approach. Journal of Vascular Surgery 1999 29, 639-648DOI: (10.1016/S0741-5214(99)70309-5) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 4 Principle of laparoscopic end-to-side aortic anastomosis, with double-needle Prolene suture. Both ends of continuous suture are knotted intracorporally at front site of arteriotomy, as indicated by arrows. Journal of Vascular Surgery 1999 29, 639-648DOI: (10.1016/S0741-5214(99)70309-5) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 5 Placement of trocars for laparoscopic aortofemoral bypass grafting with transabdominal paracolic approach. Journal of Vascular Surgery 1999 29, 639-648DOI: (10.1016/S0741-5214(99)70309-5) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions