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[Results of 31 laparoscopic interventions of the aorto-iliac vessels for arterial occlusive disease].

OBJECTIVE
To report our clinical experience with laparoscopic vascular surgery.


MATERIALS AND METHODS
Since October 1995 we have performed 31 procedures for aortoiliac occlusive disease. A transperitoneal approach with pneumoperitoneum is preferred.


RESULTS
Seven iliofemoral (IFB), 5 aortofemoral (uAFB), 16 aortobifemoral (AFB) bypasses, two thrombendarterectomies (TEA) of the infrarenal aorta, and one obturator bypass were performed totally by laparoscopy. Patients experienced a very comfortable postoperative course; all grafts were patent. Five conversions to open surgery were necessary because of a severe calcified aorta (n = 2), bleeding (n = 1), suture stenosis (n = 1), and fatty retroperitoneum (n = 1).


CONCLUSIONS
Laparoscopic vascular surgery for occlusive disease is feasible, safe, and effective. However, further technical and instrumental improvement is necessary before the new surgical technique can be recommended.