[Injuries to the abdominal aorta during laparoscopy]. 1993

F Bacourt, and F Mercier
Hôpital Américain de Paris, Neuilly.

Member surgeons of the Société de Chirurgie vasculaire de Langue française participated in a survey concerning traumatic injury to the aorta and retrospectively reported nine cases of injury occurring during laparoscopic operations. Six had occurred in 1991 when video-laparoscopic surgery was becoming widespread. The laparoscopy had been indicated as a diagnostic procedure in 4 cases and for curative treatment in 5. Gynaecology disease were involved in 4 cases and digestive diseases in 5. Injury was reported near the aortic bifurcation or at the origin of the common right iliac artery. Concomitant injury to the small intestine (1 case) and to the mesentery (n = 3) were also reported. No venous injury was observed. Haemodynamic collapsus was the presenting sign and occurred early in 6 cases and late in 2. In 1 case, the haemorrhage occurred during the laparoscopic procedure itself and in another blood loss was visualized through the needle. An unsuccessful and unneeded procedure had been performed before the diagnosis in 4 cases: on splenectomy, two mesenteric dissections and one subcostal laparotomy after cholecystectomy. In all cases, the vascular surgeon had been called in by the operating surgeon and most often operated via the xypho-pubien route. After clamping the aorta, the vascular lesions was sutured. There was one death, directly related to late diagnosis. The frequency of injury to the abdominal aorta found in the literature and the difficulties in diagnosis was recalled. Mortality has been reported to vary between 13 and 23%. Such complications demonstrate the need for a rigorous technique but do not counterindicate the continued use of laparoscopic procedures.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010535 Laparoscopy A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy. Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D005260 Female Females
D005602 France A country in western Europe bordered by the Atlantic Ocean, the English Channel, the Mediterranean Sea, and the countries of Belgium, Germany, Italy, Spain, Switzerland, the principalities of Andorra and Monaco, and by the duchy of Luxembourg. Its capital is Paris. Corsica,Saint Pierre and Miquelon,Miquelon and Saint Pierre,Miquelon and St. Pierre,St. Pierre and Miquelon
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

F Bacourt, and F Mercier
December 2001, The Surgical clinics of North America,
F Bacourt, and F Mercier
August 1998, Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti,
F Bacourt, and F Mercier
January 1997, Khirurgiia,
F Bacourt, and F Mercier
January 1970, Chirurgie; memoires de l'Academie de chirurgie,
F Bacourt, and F Mercier
February 1991, Vestnik khirurgii imeni I. I. Grekova,
F Bacourt, and F Mercier
April 2016, Klinichna khirurhiia,
F Bacourt, and F Mercier
February 1991, Vestnik khirurgii imeni I. I. Grekova,
F Bacourt, and F Mercier
August 1979, American journal of surgery,
F Bacourt, and F Mercier
June 1974, Archives of surgery (Chicago, Ill. : 1960),
F Bacourt, and F Mercier
October 1990, The American surgeon,
Copied contents to your clipboard!