Department of Vascular Surgery, Clinique Alleray-Labrouste, Paris, France.
J Vasc Surg. 2010 Jun;51(6):1560-3. doi: 10.1016/j.jvs.2010.01.063. Epub 2010 Apr 10.
Descending thoracic aorta to femoral artery bypass is an effective and safe procedure for the treatment of aortoiliac occlusive disease when an approach to the abdominal aorta is undesirable. The major limitation of this technique has resulted from the morbidity rate associated with thoracotomy in a relatively high-risk vascular surgery population. As a minimally invasive procedure, videoendoscopy has been shown to improve the patient postoperative course and comfort in the field of general and thoracic surgery. The same benefits could be expected from a videoendoscopic surgery involving the thoracic aorta. In 2003 we reported the first case of a totally videoendoscopic descending thoracic aorta-to-femoral artery bypass procedure. In this article we report our additional experience with and the modifications we have made to this technique.
降主动脉至股动脉旁路术是治疗腹主动脉不可行的主髂动脉闭塞性疾病的有效且安全的方法。该技术的主要局限性在于在相对高风险的血管外科人群中进行开胸术的发病率。作为一种微创程序，视频内镜检查已被证明可以改善普通外科和胸外科领域患者的术后过程和舒适度。同样的好处也可以预期从涉及胸主动脉的视频内镜手术中获得。2003 年，我们报道了首例全视频内镜下降主动脉至股动脉旁路术的病例。在本文中，我们报告了我们对此项技术的额外经验和改进。
