https://scholars.lib.ntu.edu.tw/handle/123456789/477459
標題: | Gasless laparoscopic aorto-bifemoral bypass grafting using self-designed abdominal lifting system | 作者: | I-HUI WU Chen Y.-C. SHOEI-SHEN WANG MING-TSAN LIN |
公開日期: | 2010 | 卷: | 20 | 期: | 8 | 起(迄)頁: | 721-724 | 來源出版物: | Journal of Laparoendoscopic and Advanced Surgical Techniques | 摘要: | Severe aorto-iliac occlusive disease can cause disabling symptoms. The treatment of aorto-iliac occlusive disease has dramatically changed with the introduction of endoluminal techniques. However, according to the Trans-Atlantic Inter-Society Consensus for severe aorto-iliac disease, aorto-bifemoral bypass remains the therapy of choice. A recent addition to the open repair is laparoscopic-assisted aorto-bifemoral bypass, especially in occlusive arterial disease. In this article, we describe a new technique of performing gasless laparoscopic-assisted aorto-bifemoral bypass grafting with a self-designed abdominal wall-lifting system. We dealt with a patient who had a history of coronary artery disease and poor cardiopulmonary functional reserve. He had disabling symptoms of claudication and rest pain on bilateral lower extremities. Aorto-biliac-femoral occlusive disease was diagnosed in him, and he underwent the gasless laparoscopic-assisted aorto-bifemoral bypass. The total procedure time was 260 minutes. The patient was extubated 5 hours postoperatively. He was discharged home without complications 5 days after the surgery. This procedure is attractive not only to minimize the length of the wound and the time to extubation but also to avoid the possible lethal complications associated with the traditional laparascopic pneumoperitoneum. This device and technique can also provide a bridge for young or less-experienced surgeons to be familiar with total laparoscopic aortic surgery from traditional open repair. ? Copyright 2010, Mary Ann Liebert, Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-77958085982&doi=10.1089%2flap.2010.0232&partnerID=40&md5=abaed832b34e7dde0df3033c4b800c93 https://scholars.lib.ntu.edu.tw/handle/123456789/477459 |
ISSN: | 1092-6429 | DOI: | 10.1089/lap.2010.0232 | SDG/關鍵字: | abdominal lifting system; abdominal wall; aged; angiography; aortofemoral bypass; artery occlusion; article; cardiopulmonary function; case report; claudication; clinical feature; computer assisted tomography; coronary artery disease; equipment design; extubation; gasless laparoscopic aortobifemoral bypass grafting; human; iliac artery; laparoscopic surgery; leg pain; male; medical history; operation duration; postoperative complication; priority journal; superficial femoral artery; surgical equipment; surgical technique; Aged; Embolization, Therapeutic; Femoral Artery; Humans; Iliac Aneurysm; Iliac Artery; Intermittent Claudication; Laparoscopy; Male; Vascular Surgical Procedures |
顯示於: | 醫學系 |
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