Are laparoscopic staplers effective for ligation of large intraabdominal arteries ?
| Autor: | Christian Brunet, V Gariboldi, Regis Rieu, O Hartung, Vincent Garitey, Y.S. Alimi |
|---|---|
| Přispěvatelé: | Institut de Recherche sur les Phénomènes Hors Equilibre (IRPHE), Aix Marseille Université (AMU)-École Centrale de Marseille (ECM)-Centre National de la Recherche Scientifique (CNRS), Centre National de la Recherche Scientifique (CNRS)-Aix Marseille Université (AMU)-École Centrale de Marseille (ECM), Hannoun, Judith |
| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
Laparoscopic surgery
Male medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Iliac Artery 03 medical and health sciences 0302 clinical medicine Surgical Staplers medicine.artery Medicine Humans Aorta Abdominal Ligation Aorta Aged Medicine(all) Aged 80 and over business.industry Equipment Design Vascular surgery equipment and supplies medicine.disease Surgery surgical procedures operative medicine.anatomical_structure 030220 oncology & carcinogenesis Female Laparoscopy Radiology Cardiology and Cardiovascular Medicine Cadaveric spasm business Artery Calcification Follow-Up Studies |
| Zdroj: | European Journal of Vascular and Endovascular Surgery European Journal of Vascular and Endovascular Surgery, 2004, 28, n° 3, pp.281-286 European Journal of Vascular and Endovascular Surgery, Elsevier, 2004, 28, n° 3, pp.281-286 |
| ISSN: | 1078-5884 |
| Popis: | Objectives. To evaluate ligation of aortoiliac arteries with laparoscopic staplers in order to develop specifically designed staplers. Methods. Cadaveric study. Seven human cadaver aortas were stapled using EndoGIA60® staplers. Efficiency was evaluated macroscopically and on a hydrodynamic bench. Clinical study. Twelve patients had ligation of 14 large abdominal arteries (aorta: nine, iliac artery: four, hepatic artery: one) using a laparoscopic stapler. Stapling efficiency was judged on peroperative clinical and postoperative CT scan criteria. Results. Cadaveric study. Stapling was performed perfectly on four moderately calcified aortas, without leakage with a pulsatile pressure of >250 mmHg. For three aortas with severe calcification, stapling was not efficient and major leakage occurred. Clinical study. Stapling appeared clinically efficient on all arteries but one aorta: this severely calcified aorta was ligated conventionally. The staplers are not easy to use due to their shape and their lack of articulation. After a mean follow-up of 31.3 months, all the other stapled arteries were effectively ligated. Conclusion. The commercially available staplers can be used securely on moderately calcified arteries but stapling of severely calcified arteries should be avoided. These devices should be redesigned to facilitate their use in vascular surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect