Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Hand-assisted Laparoscopic Abdominal Aortic Aneurysm Repair Through a 6 cm Incision

6 cm 절개선을 통한 수기 보조 복강경 복부 대동맥류의 수술

  • Choi, Hyung-Yoon (Department of Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine) ;
  • Song, Suk-Won (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Yi, Gi-Jong (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine)
  • 최형윤 (연세대학교 의과대학 세브란스병원 흉부외과학교실) ;
  • 송석원 (연세대학교 의과대학 강남세브란스병원 흉부외과학교실) ;
  • 이기종 (연세대학교 의과대학 강남세브란스병원 흉부외과학교실)
  • Published : 2009.10.05
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Abstract

We performed hand-assisted laparoscopic surgery for a 67-year-old male with a 5.6 cm sized abdominal aortic aneurysm. To the best of our knowledge, this is the first report in Korea. After an initial hand dissection of the abdominal aorta under laparoscopy, we performed proximal anastomosis and distal abdominal. aorta suture ligation through a 6 cm abdominal incision. Distal anastomosis was done at the bilateral common femoral arteries. He resumed his oral intake 6 hours after the surgery and discharged at the $4^{th}$ postoperative day.

저자들은 우리나라에서는 처음으로 복강경을 이용한 수기보조 방법으로 복부 대동맥류 치환술을 시행하였다. 환자는 67세 남자였으며, 복부 대동맥류의 직경은 약 5.8 cm였다. 첫 단계로 상복부에 6 cm 절개선을 내고, 복강경하에서 집도의의 왼손을 이용하여 대동맥류 주위를 박리하였다. 근위부 문합은 절개창을 통하여 직접 하였으며, 인조혈관의 양쪽 다리를 후복막을 통하여 양족 서혜부에서 총대퇴동맥과 단측문합하였다. 환자는 술 후 6시간 후 경구 식이를 시작하였으며, 술 후 4일째 퇴원하였다.

Keywords

References

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