Laparoscopy-assisted abdominal aortic aneurysm repair: a future standard of care?
Roberto Chiesa* and Massimiliano M Marrocco-Trischitta
Correspondence *San Raffaele Scientific Institute, Università Vita-Salute, San Raffaele, Via Olgettina, 60, 20132 Milan, Italy
Email roberto.chiesa@hsr.it
This article has no abstract so we have provided the first paragraph of the full text.
The introduction of laparoscopic methods in vascular surgery dates back to 1993, but widespread use of this procedure remains confined to a few centers with extensive ad hoc experience. Although total laparoscopic aortic repair (TLAR) for AAA is feasible,1 it is associated with specific challenges. Videoscopic anastomoses are technically demanding and can entail noteworthy increases in clamping time and blood loss.1, 2 Bleeding control is often difficult because continuous suction evacuates the pneumoperitoneum, reducing intra-abdominal visualization and jeopardizing the safety of surgical maneuvers.1, 2 In fact, surgical conversion is required in 30% of cases.1
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