Laparoscopic end-to-end aortobifemoral bypass with reimplantation of the inferior mesenteric artery - An experimental study; laparoscopic aortic aneurysmorrhaphy

We report here our experience with 6 piglets which were submitted to inferi or mesenteric artery (IMA) reimplantation during laparoscopic aortobifemora l bypass (LAFB). A LAFB was performed using a dacron graft. The IMA was rei mplanted in the body of the graft. Mean operative and dissection times were 282.5 minutes and 123 minutes with a mean blood loss of 108 mi. Aortic clamping and anastomotic times were 123 and 33 minutes respectively. IMA reimplantation took 55 minutes. At autopsy, all anastomoses were paten t. Laparoscopic IMA reimplantation during laparoscopic aortobifemoral bypas s is feasible. We also report what we believe to be the first case of laparoscoscopic aort ic aneurysm resection according to the endoaneurysmorrhaphy technique.