LAPAROSCOPIC AORTOBIFEMORAL BYPASS

Purpose: To determine the potential benefits of applying laparoscopic techniques for the intraabdominal insertion of aortofemoral grafts and to compare results with those of conventional surgery. Methods: Havin g previously demonstrated the feasibility of a totally laparoscopic ao rtofemoral bypass technique using carbon dioxide peritoneal insufflati on in a porcine model, we now report our first human experience with t his laparoscopic technique in a 49-year-old man. Results: The patient' s postoperative course was marked by his minimal requirements for anal gesia, early ambulation, and discharge from the hospital in the mornin g of the third postoperative day. Conclusions: The benefits of a lapar oscopic approach to aortobifemoral bypass grafting in terms of financi al savings and earlier rehabilitation in this patient was significant. This less-invasive procedure warrants further investigation.