ABSTRACT
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.
Subject(s)
Aorta, Abdominal/surgery , Blood Vessel Prosthesis Implantation , Education, Medical, Graduate , Laparoscopy , Lumbosacral Plexus/surgery , Retroperitoneal Space/surgery , Sympathectomy , Adult , Aged , Aged, 80 and over , Animals , Aortic Aneurysm, Abdominal/surgery , Aortic Diseases/surgery , Arterial Occlusive Diseases/surgery , Blood Vessel Prosthesis Implantation/adverse effects , Blood Vessel Prosthesis Implantation/education , Blood Vessel Prosthesis Implantation/methods , Blood Vessel Prosthesis Implantation/mortality , Clinical Competence , Curriculum , Female , Humans , Laparoscopy/adverse effects , Laparoscopy/mortality , Learning , Male , Middle Aged , Models, Animal , Program Development , Sympathectomy/education , Sympathectomy/methodsABSTRACT
We report the first case, to our knowledge, of spontaneous abscess of the abdominal wall, omentum and abdominal cavity caused by group G streptococci. A 52-year-old diabetic woman presented with abdominal tenderness and weight loss that had persisted for a few weeks. CT scan showed several abscesses of the abdominal wall, omentum and abdominal cavity. The abscesses were drained laparoscopically and antibiotics were given postoperatively. Biopsies and cultures showed group G streptococci. The patient recovered without any complication and left our hospital on the 17th postoperative day.
