Dion Y M, Hartung O, Gracia C, Doillon C
Department of Surgery, Centre Hospitalier Universitaire de Québec, Quebec Biomaterials Institute, Canada.
Surg Laparosc Endosc. 1999 Jan;9(1):35-8.
The goal of this animal experiment was to demonstrate the feasibility of laparoscopic end-to-side aortic anastomosis, which is mandatory in certain cases presenting with aortoiliac occlusive disease. Six piglets were submitted to laparoscopic approach of the aortoiliac vessels using the "apron" technique. After clamping the infrarenal aorta with a laparoscopic Satinsky clamp, a 3-cm end-to-side laparoscopic aortic anastomosis was constructed. Mean operative and dissection times were 198 (170-240) and 92 (75-105) min, respectively, with a mean blood loss of 86 (50-120) mL. Mean preoperative and postoperative hematocrits were 38 (3448) and 38 (34-46). Aortic cross-clamp and anastomotic times were 51 (40-65) and 44 (35-60) min, respectively. No extra sutures were needed to secure the anastomoses. At autopsy, all the anastomoses were patent without stenoses. Results indicate the feasibility of laparoscopic aortobifemoral bypass with an end-to-side aortic anastomosis.
本动物实验的目的是证明腹腔镜端侧主动脉吻合术的可行性，这在某些伴有主髂动脉闭塞性疾病的病例中是必需的。使用“围裙”技术对6只仔猪进行了主髂血管的腹腔镜手术。用腹腔镜Satinsky钳夹住肾下腹主动脉后，构建了一个3厘米的腹腔镜端侧主动脉吻合术。平均手术时间和解剖时间分别为198（170 - 240）分钟和92（75 - 105）分钟，平均失血量为86（50 - 120）毫升。术前和术后平均血细胞比容分别为38（34 - 48）和38（34 - 46）。主动脉阻断钳夹时间和吻合时间分别为51（40 - 65）分钟和44（35 - 60）分钟。无需额外缝线来固定吻合口。尸检时，所有吻合口均通畅无狭窄。结果表明腹腔镜主动脉双股动脉旁路移植术行端侧主动脉吻合术是可行的。
