Hand-assisted laparoscopic aortobifemoral bypass for occlusive disease. Early and mid-term results.
prospective_cohort · Level II
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Abstract
To evaluate the early and mid-term results of hand-assisted laparoscopic surgery (HALS) for aorto-iliac reconstruction. Prospective survey. Between February 2002 and January 2004, 46 patients received an aortobifemoral bypass for advanced occlusive disease by HALS. 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%. HALS aorto-iliac reconstruction should be considered as a minimal invasive technique with good early and mid-term results.
Medical subject headings
- Aorta, Abdominal
- Arterial Occlusive Diseases
- Blood Vessel Prosthesis Implantation
- Femoral Artery
- Iliac Artery
- Laparoscopy