腹腔镜主动脉双股动脉旁路移植术。
Laparoscopic aortobifemoral bypass.
作者信息
Ahn S S, Hiyama D T, Rudkin G H, Fuchs G J, Ro K M, Concepcion B
机构信息
Section of Vascular Surgery, Division of General Surgery, UCLA Center for the Health Sciences, USA.
出版信息
J Vasc Surg. 1997 Jul;26(1):128-32. doi: 10.1016/s0741-5214(97)70156-3.
PURPOSE
To determine the potential benefits of applying laparoscopic techniques for the intraabdominal insertion of aortofemoral grafts and to compare results with those of conventional surgery.
METHODS
Having previously demonstrated the feasibility of a totally laparoscopic aortofemoral bypass technique using carbon dioxide peritoneal insufflation in a porcine model, we now report our first human experience with this laparoscopic technique in a 49-year-old man.
RESULTS
The patient's postoperative course was marked by his minimal requirements for analgesia, early ambulation, and discharge from the hospital in the morning of the third postoperative day.
CONCLUSIONS
The benefits of a laparoscopic approach to aortobifemoral bypass grafting in terms of financial savings and earlier rehabilitation in this patient was significant. This less-invasive procedure warrants further investigation.
目的
确定应用腹腔镜技术进行腹主动脉-股动脉移植物腹腔内植入的潜在益处，并将结果与传统手术进行比较。
方法
我们之前已在猪模型中证明了使用二氧化碳气腹的全腹腔镜腹主动脉-股动脉旁路技术的可行性，现报告我们对一名49岁男性患者首次应用该腹腔镜技术的经验。
结果
患者术后过程的特点是镇痛需求极少、早期下床活动，并于术后第三天上午出院。
结论
对于该患者，腹腔镜下腹主动脉-双股动脉旁路移植术在节省费用和早期康复方面的益处显著。这种侵入性较小的手术值得进一步研究。
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