RESUMEN
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.
Asunto(s)
Aorta Abdominal/cirugía , Implantación de Prótesis Vascular , Educación de Postgrado en Medicina , Laparoscopía , Plexo Lumbosacro/cirugía , Espacio Retroperitoneal/cirugía , Simpatectomía , Adulto , Anciano , Anciano de 80 o más Años , Animales , Aneurisma de la Aorta Abdominal/cirugía , Enfermedades de la Aorta/cirugía , Arteriopatías Oclusivas/cirugía , Implantación de Prótesis Vascular/efectos adversos , Implantación de Prótesis Vascular/educación , Implantación de Prótesis Vascular/métodos , Implantación de Prótesis Vascular/mortalidad , Competencia Clínica , Curriculum , Femenino , Humanos , Laparoscopía/efectos adversos , Laparoscopía/mortalidad , Aprendizaje , Masculino , Persona de Mediana Edad , Modelos Animales , Desarrollo de Programa , Simpatectomía/educación , Simpatectomía/métodosRESUMEN
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.