Totally laparoscopic aortic surgery: comparison of the apron and retrocolic techniques in a porcine model.

Abstract:

:This study evaluated the learning curve for a second-year general surgery resident and compared 2 totally laparoscopic aortic surgery techniques in 10 pigs: the transretroperitoneal apron approach and the transperitoneal retrocolic approach. Five end points were compared: success rate, percentage of conversion, time required, laparoscopic anastomosis quality, and learning curve. The first 3 interventions required an open conversion. The last 7 were done without complications. Mean dissection time was significantly higher with the apron approach compared with the retrocolic approach. The total times for operation, clamping, and arteriotomy time were similar. All laparoscopic anastomoses were patent and without stenosis. The initial learning curve for laparoscopic anastomosis was relatively short for a second-year surgery resident. Both techniques resulted in satisfactory exposure of the aorta and similar mean operative and clamping time. Training on an ex vivo laparoscopic box trainer and on an animal model seems to be complementary to decrease laparoscopic anastomosis completion time.

journal_name

Vasc Endovascular Surg

authors

Huynh H,Elkouri S,Beaudoin N,Bruneau L,Guimond C,Daniel V,Blair JF

doi

10.1177/1538574407299800

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

230-8

issue

3

eissn

1538-5744

issn

1938-9116

pii

41/3/230

journal_volume

41

pub_type

杂志文章
  • Endovenous laser treatment of saphenous vein reflux: how much energy do we need to prevent recanalizations?

    abstract::The aim of this study was to report the results of high-energy endovenous laser treatment to measure the relationship between the fluence and the outcome in terms of recanalization. In 97 patients, 129 great saphenous veins were treated with endovenous laser treatment, using a 980-nm diode laser. Follow-up visits were...

    journal_title:Vascular and endovascular surgery

    pub_type: 临床试验,杂志文章

    doi:10.1177/1538574407311107

    authors: Vuylsteke M,Liekens K,Moons P,Mordon S

    更新日期:2008-04-01 00:00:00

  • Near-infrared spectroscopy assessment following exercise training in patients with intermittent claudication and in untrained healthy participants.

    abstract::Selected near-infrared spectroscopy (NIRS) parameters were assessed in healthy untrained participants and in peripheral arterial disease (PAD) trained patients to evaluate their usefulness in rehabilitative outcome. Forty-five PAD and 15 healthy participants were studied at entry and at 34 ± 2 weeks. Healthy participa...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574412443318

    authors: Manfredini F,Malagoni AM,Mandini S,Felisatti M,Mascoli F,Basaglia N,Manfredini R,Mikhailidis DP,Zamboni P

    更新日期:2012-05-01 00:00:00

  • Conversion of tunneled hemodialysis catheter into HeRO device can provide immediate access for hemodialysis.

    abstract::Patients with central venous occlusion who are ''tunneled catheter dependent'' are a challenge for hemodialysis access. A relatively new option for them is the hemodialysis reliable outflow (HeRO) device that can be totally implanted subcutaneously. However, patients still require a tunneled hemodialysis catheter that...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574410377122

    authors: Vasquez JC,DeLaRosa J,Rahim F,Rahim N

    更新日期:2010-11-01 00:00:00

  • The vascular and biochemical effects of cilostazol in diabetic patients with peripheral arterial disease.

    abstract:OBJECTIVES:Cilostazol improves walking in patients with peripheral arterial disease (PAD). We hypothesized that cilostazol reduces diabetic complications in PAD patients. METHODS:Diabetic PAD patients were prospectively recruited to a randomized double-blinded, placebo-controlled trial, using cilostazol 100mg twice a ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1538574408328586

    authors: O'Donnell ME,Badger SA,Sharif MA,Makar RR,Young IS,Lee B,Soong CV

    更新日期:2009-04-01 00:00:00

  • The Use of Closure Devices for Aortic Stent-Graft Insertion: Outcomes Following a Paradigm Shift to Percutaneous Access in a Tertiary Vascular Center.

    abstract:BACKGROUND:This retrospective case series aims to evaluate the efficacy of the Perclose ProGlide system for postoperative hemostasis following aortic stent-graft insertion. MATERIAL AND METHODS:A prospectively maintained database of patients with a minimum follow-up of 12 months following percutaneous aortic procedure...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574419858829

    authors: White AD,Hazar C,Jarosz D,Walker P,Shaw D,Tingerides C

    更新日期:2019-10-01 00:00:00

  • Endovascular therapy for hepatic artery stenosis and thrombosis following liver transplantation.

    abstract:PURPOSE:To evaluate the effectiveness of endovascular management of steno-oclusive disease in liver transplants. METHODS:Retrospective review of liver transplant recipients with hepatic artery stenosis (HAS) or thrombosis (HAT) was performed. The HAS group was treated with balloon angioplasty with selective stent plac...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574411407088

    authors: Sabri SS,Saad WE,Schmitt TM,Turba UC,Kumer SC,Park AW,Matsumoto AH,Angle JF

    更新日期:2011-07-01 00:00:00

  • Catheter-directed thrombolysis for acute renal artery thrombosis: report of 4 cases.

    abstract::Acute renal artery occlusion is a rare but threatening problem; optimal therapeutic treatment remains a challenge, and ultimate outcomes are still to be defined. In the last decades, several reports or short-case experiences have been reported describing the use of selective infusion of lytic agents into renal artery ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574408314445

    authors: Piffaretti G,Riva F,Tozzi M,Lomazzi C,Rivolta N,Carrafiello G,Castelli P

    更新日期:2008-08-01 00:00:00

  • A composite approach to thoracic aortic stent grafting.

    abstract::Thoracic endovascular aortic repair has become the preferred modality for the treatment of diverse aortic pathologies of the thoracic aorta. This report is the first to describe the use of 2 different devices for successful exclusion of a dissecting thoracic aneurysm. ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574409336021

    authors: Wang GJ,Szeto WY,Fairman RM,Woo EY,Bavaria JE,Jackson BM

    更新日期:2010-01-01 00:00:00

  • "Inflammatory Bowel Disease-Not Just the Bowel's Bane": Peripheral Arterial and Venous Thrombosis in a Patient With Crohn Disease.

    abstract:INTRODUCTION:Inflammatory bowel disease (IBD) is a chronic multisystem inflammatory condition with associated endothelial dysfunction and dysregulated coagulation. Although deep venous thrombosis (DVT) in IBD has been well described, arterial thrombosis and thromboembolism are less commonly appreciated. METHODS:A 63-y...

    journal_title:Vascular and endovascular surgery

    pub_type:

    doi:10.1177/1538574420939360

    authors: Boussi L,Safaya A,Goyal A,Mateo R,Laskowski I,Babu S

    更新日期:2020-10-01 00:00:00

  • The effect of balloon-occluded transvenous obliteration of gastric varices and gastrorenal shunts on the hepatic synthetic function: a comparison between Child-Pugh and model for end-stage liver disease scores.

    abstract:PURPOSE:To evaluate the effect of balloon-occluded transvenous obliteration (BRTO) on the model for end-stage liver disease (MELD) and the Child-Pugh (C-P) score and their individual components. METHODS:A retrospective review of patients undergoing only BRTO without transjugular intrahepatic portosystemic shunt was pe...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574413485646

    authors: Saad WE,Wagner CC,Al-Osaimi A,Bliebel W,Lippert A,Davies MG,Sabri SS,Turba UC,Matsumoto AH,Angle JF,Caldwell S

    更新日期:2013-05-01 00:00:00

  • Endovascular repair of traumatic descending thoracic aortic disruptions: should endovascular therapy become the gold standard?

    abstract::Acute arterial disruptions of the thoracic aorta are rare and often lethal. They are most often due to blunt trauma and occur most commonly just distal to the left subclavian artery origin in the setting of multisystem injuries. The very proximal nature of the lesion in survivors makes open surgical repair hazardous, ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/153857440403800404

    authors: Uzieblo M,Sanchez LA,Rubin BG,Choi ET,Geraghty PJ,Flye MW,Curci JA,Moon MR,Sicard GA

    更新日期:2004-07-01 00:00:00

  • Noninvasive evaluation of endothelial activity in healthy and diseased individuals.

    abstract:BACKGROUND:Diminished endothelial activity (EA) has been associated with an increased risk of incident cardiovascular disease (CAD) events. METHODS:Vasodilatory responses (EA and relative distensibility [RD]) were evaluated noninvasively using iontophoresis of acetylcholine (ACH) and sodium nitroprusside (SNP) and rec...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574413508229

    authors: Fronek A,Allison M

    更新日期:2014-02-01 00:00:00

  • Endovascular treatment of innominate artery stenosis in a bovine aortic arch--a case report.

    abstract::Recent reports have established the feasibility and safety of percutaneous transluminal angioplasty and stent placement in the treatment of innominate artery occlusive disease. Although the long-term durability of these endovascular approaches has not been clearly established, they are particularly attractive in patie...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/153857440303700407

    authors: D'Ayala M,Toursarkissian B,Ferral H,Lewis WM,Jones WT,Wholey MH

    更新日期:2003-07-01 00:00:00

  • Inflammatory abdominal aortic aneurysm: a case report and review of literature.

    abstract::We report a case of an abdominal aortic aneurysm (AAA) that underwent inflammatory transformation which we treated medically with corticosteroids. Medical therapy resulted in resolution of presenting symptoms and observed inflammatory changes. We review the clinical features, associated pathology, diagnostic, and ther...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章,评审

    doi:10.1177/1538574413510616

    authors: Ketha SS,Warrington KJ,McPhail IR

    更新日期:2014-01-01 00:00:00

  • Inflammatory abdominal aortic aneurysms (IAAA): past and present.

    abstract:AIM:The aim of the study is to determine whether presentation and outcomes of inflammatory abdominal aortic aneurysms (IAAA) have changed over the last five decades. METHODS:Comparison of current outcomes (January 2001 to December 2007) with results of the earliest report from our unit in 1972. RESULTS:In contemporar...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574409335915

    authors: Paravastu SC,Murray D,Ghosh J,Serracino-Inglott F,Smyth JV,Walker MG

    更新日期:2009-08-01 00:00:00

  • Endovascular stent-graft repair of penetrating descending thoracic aortic ulcer.

    abstract::This article presents a case in which covered stent-graft cuffs were used to treat a penetrating ulcer of the descending thoracic aorta. An 80-year-old woman presented with penetrating ulcer in the descending thoracic aorta. Two endovascular stent graft cuffs were used for total exclusion of the penetrating ulcer, bec...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1084713806296075

    authors: Aidinian G,Massimiano PS,Speir AM,Mukherjee D

    更新日期:2007-02-01 00:00:00

  • Routine venography following transaxillary first rib resection and scalenectomy (FRRS) for chronic subclavian vein thrombosis ensures excellent outcomes and vein patency.

    abstract::To assess the role of postoperative venography in patients treated with first rib resection and scalenectomy (FRRS) for effort thrombosis, a retrospective review was done to evaluate long-term venous patency in 84 patients treated at the Johns Hopkins Medical Institutions. Patients undergo venography 2 weeks postopera...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574411423982

    authors: Chang KZ,Likes K,Demos J,Black JH 3rd,Freischlag JA

    更新日期:2012-01-01 00:00:00

  • Endovascular stent graft repair of iatrogenic popliteal artery injuries--a report of 2 cases.

    abstract::Popliteal artery injury during total knee replacement (TKR) is rare. We report 2 cases of post-TKR popliteal artery occlusions treated endovascularly with Viabahn stent grafts. Long-term duplex follow-up and secondary re-intervention may be necessary. ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574411434163

    authors: Kovacs F,Pollock JG,DeNunzio M

    更新日期:2012-04-01 00:00:00

  • New trick for removal of intravascular retained foreign body: a case report and review of literature.

    abstract::A 54-year-old male presented to the vascular service for an urgent inpatient consultation. During an infusaport removal, the catheter was accidentally disconnected and lost intravascularly within the left subclavian vein, with the tip still in the right ventricle. We report on a novel technique for removing such intra...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章,评审

    doi:10.1177/1538574413510624

    authors: Mousa AY,Gill G,Aburahma AF

    更新日期:2014-01-01 00:00:00

  • Percutaneous isolated limb perfusion with thrombolytics for severe limb ischemia.

    abstract::Patients with severe tibioperoneal disease are poor candidates for a distal bypass. Absence of a distal target, lack of conduit, or multiple medical problems can make these patients a prohibitive risk for revascularization. Acute on chronic ischemia in this group poses a greater challenge. Thrombolytic therapy for acu...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/153857440503900605

    authors: Ali AT,Kalapatapu VR,Bledsoe S,Moursi MM,Eidt JF

    更新日期:2005-11-01 00:00:00

  • Endovascular repair of traumatic aortic injury using a custom fenestrated endograft to preserve the left subclavian artery.

    abstract:PURPOSE:To describe the use of custom fenestrated endografts to preserve left subclavian artery (SCA) flow when requiring coverage during endovascular repair of blunt aortic injury (BAI). CASE REPORT:A 39-year-old male involved in a motor vehicle accident sustained injuries including intracranial hemorrhage, BAI, and ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574411413939

    authors: Gilani R,Ochoa L,Wall MJ Jr,Tsai PI,Mattox KL

    更新日期:2011-08-01 00:00:00

  • Antithrombotic Therapy After Revascularization in Patients With Peripheral Arterial Disease: What Is Here, What Is Next.

    abstract:OBJECTIVE:The optimal antithrombotic regimen in peripheral arterial disease (PAD) is not known, leading to significant variations in antithrombotic treatment protocols in randomized trials and clinical practice. In device trials, antithrombotic regimens in patients receiving peripheral vascular interventions have not b...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章,评审

    doi:10.1177/1538574419836316

    authors: Amer MR,Chaturvedula ST,Joshi S,Ingrassia J

    更新日期:2019-05-01 00:00:00

  • Statins promote residual aneurysm sac regression following endovascular aortic aneurysm repair.

    abstract:BACKGROUND:Regression of the residual sac is indicative of successful endovascular aortic aneurysm (EVAR) repair. Using color duplex ultrasound (CDU), we monitored the residual aneurysm sac following EVAR and correlated sac behavior with perioperative risk factors. METHODS:Of 145 patients with EVAR, 106 (73.1%) patien...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574413513846

    authors: Gray C,Goodman P,O'Malley MK,O'Donohoe MK,McDonnell CO

    更新日期:2014-02-01 00:00:00

  • A tapered contralateral Endurant stent graft limb, deployed ''up-and-over'' to treat a symptomatic internal iliac aneurysm.

    abstract::Internal iliac artery aneurysms are a rare variant of aorto-iliac aneurysm disease. They are associated with high mortality if managed conservatively. Open surgery is associated with significant morbidity and mortality especially when performed for rupture. Endovascular stent coverage after feeding vessel embolization...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574410369387

    authors: Cheong SK,Varcoe RL

    更新日期:2010-08-01 00:00:00

  • Safety and Efficacy of Arterial Closure Devices Following Antegrade Femoral Access: A Case-Control Study.

    abstract:PURPOSE:Vascular closure device (VCD) use following antegrade femoral access may present unique challenges relative to retrograde access. We retrospectively compared safety and efficacy of these devices between antegrade and retrograde patient cohorts undergoing percutaneous intervention. MATERIALS AND METHODS:Over a ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574420941298

    authors: Barrette LX,Vance AZ,Mantell MP,Kratz KM,Redmond JW,Clark TWI

    更新日期:2020-10-01 00:00:00

  • Adjunctive endovascular techniques in the management of postoperative carotid artery pseudoaneurysms--useful armamentarium for vascular surgeons--three case reports.

    abstract::Postoperative carotid artery pseudoaneurysms are rare. The traditional treatment of choice has been operative repair, which can present a significant technical challenge owing to the reoperative neck inflammation and potential cranial nerve injuries. The authors report 3 cases of postoperative carotid pseudoaneurysms ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/153857440303700308

    authors: Terramani TT,Workman MJ,Loberman Z,Dawson DL,Bush RL,Lumsden AB,Lin PH

    更新日期:2003-05-01 00:00:00

  • Preoperative Embolization of Venous Malformations Using n-Butyl Cyanoacrylate.

    abstract:PURPOSE:The purpose of this study was to evaluate the safety and efficacy of preoperative percutaneous n-butyl cyanoacrylate (nBCA) embolization of venous malformations in children. MATERIAL AND METHODS:Clinical data were retrospectively reviewed in children who underwent embolization using nBCA followed by resection ...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574418762192

    authors: Uller W,El-Sobky S,Alomari AI,Fishman SJ,Spencer SA,Taghinia AH,Chaudry G

    更新日期:2018-05-01 00:00:00

  • Endovascular solutions to complications of open aortic repair.

    abstract::Open repair of abdominal aortic aneurysms (AAAs) or occlusive disease can be complicated by pseudoaneurysm formation and aneurysmal dilatation of native vessels. Reports of reoperation for these new lesions have a mortality rate of 5-17% electively, and 24-88% if ruptured. These complications are commonly several year...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/153857440503900302

    authors: Pearce BJ,Baldwin Z,Bassiouny H,Gewertz BL,McKinsey JF

    更新日期:2005-05-01 00:00:00

  • Comparative analysis of hospital costs of open and endovascular thoracic aortic repair.

    abstract:BACKGROUND:Endovascular technologies represent major advancements in treating descending thoracic aortic aneurysms (DTAA). We compared hospital charges of open thoracic aortic replacement (OTAR) with endovascular repair of thoracic aortic aneurysms (TEVAR). METHODS:Retrospective analysis of hospital charges related to...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574410380471

    authors: Arnaoutakis GJ,Hundt JA,Shah AS,Cameron DE,Black JH 3rd

    更新日期:2011-01-01 00:00:00

  • A Long-Time Follow-Up Study of a Single-Center Endovascular Aneurysm Repair (Evar) Endoleak Outcomes.

    abstract:PURPOSE:The aim of this study was to evaluate the incidence, risk factors, and outcome of endoleaks related to endovascular aneurysm repair (EVAR) procedure at a single center with up to 10 years' surveillance. MATERIALS AND METHODS:All patients treated with EVAR for an abdominal aorta or iliac aneurysm in a 10-year p...

    journal_title:Vascular and endovascular surgery

    pub_type: 杂志文章

    doi:10.1177/1538574418779667

    authors: Andersen RM,Henriksen DP,Mafi HM,Langfeldt S,Budtz-Lilly J,Graumann O

    更新日期:2018-10-01 00:00:00