Total Laparoscopic Aortic Aneurysm Surgery

Abstract

This paper describes our technique and results with total laparoscopic aortic aneurysm repair. Material and Methods: A transperitoneal left retrorenal access was used in all cases. Special laparoscopic clamps often in combination with balloon catheters were used to occlude the aorta and the renal arteries. Exactly the same techniques like in open surgery were used. Either a tube graft or a bifurcated graft, anastomosed with the iliac arteries or the femoral arteries, was implanted to exclude the aneurysm.

Laparoscopic surgery is becoming a third way to perform aortic aneurysm repair. In contrast to EVAR it can offer to aneurysm patients the same definitive outcome which we obtain in open surgery.

Key Words:

• Abdominal aortic aneurysm
• laparoscopy

Additional information

Notes on contributors

R. Kolvenbach

Prof. R. Kolvenbach, M.D., Ph.D. Department of Vascular Surgery and Endovascular Therapy Augusta Hospital Duesseldorf Amalien str 940472 Duesseldorf FRG Tel.: [phone] Fax: [phone] E-mail: [email protected]