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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2008 August;49(4):511-7

language: English

From retroperitoneoscopic lumbar sympathectomy to total laparoscopic abdominal aorta surgery: how to learn

Debing E., De Brabandere K., Vanhulle A., Van Den Brande P.

Department of Vascular Surgery Universitair Ziekenhuis Brussels (VUB), Brusselles, Belgium


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The aim of this report is to describe the steps we followed to build up laparoscopic experience progressively towards total laparoscopic aorta surgery. The techniques of retroperitoneoscopic lumbar sympathectomy, hand-assisted laparoscopic aorta surgery and total laparoscopic aorta surgery are discussed and illustrated. Surgical tips and tricks and advice concerning selection of patients and surgical techniques are proposed. The 30-day morbidity and mortality rates of laparoscopic, standard open and endovascular abdominal aorta aneurysm repair were compared.

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