Cirurgia a車rtica totalmente laparosc車pica para tratamento de isquemia cr赤tica de membros: relato do primeiro caso no Brasil

作者：Yoshida; Ricardo de Alvarenga; Yoshida; Winston Bonetti; Rollo; Hamilton de Almeida; Kolvenbach; Ralf; Jaldim; Rodrigo Gibin; Pimentel; Fernando Cordeiro; Fares; Aline Helena Gonzales

来源：Jornal Vascular Brasileiro, 2010.

DOI：10.1590/S1677-54492010005000004

• video-assisted surgery
• aorta
• vascular diseases
• atherosclerosis.

laparoscopic surgery has been increasingly used as a less invasive surgical option for the treatment of aortoiliac occlusive atherosclerotic disease. the objective of this case report was to describe the results of the first total laparoscopic surgery conducted in brazil for the treatment of the aortoiliac occlusive disease in a patient with critical ischemia. total time of surgery, time of aortic dissection and exposure before clamping, time of retroperitoneal exposure of the aorta, and time of total clamping and proximal anastomosis using total laparoscopic technique were 220 minutes, 15 and 27 minutes, 42 minutes, 110 minutes, and 78 minutes, respectively. the laparoscopic technique is an additional minimally invasive tool, being feasible, safe, and effective for the treatment of extensive aortoiliac occlusive disease. this technique, which is nothing more than a conventional surgery performed under laparoscopic viewing, brings good long-term results associated with technical elegance.

• 出版日期2010