UDK: 616-089+617.5

LAPAROSCOPIC CORRECTION OF TYPE II ENDOLEAK AFTER AORTIC ANEURYSM RESECTION

P.V. Mozgovoy, A.A. Lukovskova, E.G. Spiridonov, V.V. Mandrikov, F.N. Zharkin, V.S. Ufimtsev, D.V. Moiseev, A.G. Rebikov, V.I. Novichenko, E.V. Prikazchikov

ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации, Клиника № 1

Abstract

The article presents a clinical case of laparoscopic surgical treatment of type II endoleaks after aortic aneurysm resection on shutdown and aorto-iliac bifurcation prosthetics. This complication developed a year after the operation and was verified by CT-aortography. The growth of the aneurysmal sac up to 5,7 cm in diameter and signs of endoleak due to the right lumbar artery at the L 4 level were detected. After appropriate preparation, laparoscopic resection of the aneurysmal sac and stitching of the lumbar artery was performed. The postoperative period was uneventful. The patient was rehabilitated as soon as possible. Observation for 36 months, blood flow in the aneurysmal sac is not determined. Thus, laparoscopic techniques can be successfully used to correct complications after operations for abdominal aortic aneurysm.

Keywords

abdominal aortic aneurysm, endoleak, laparoscopy.

Contacts

Мозговой Павел Вячеславович – д. м. н., профессор кафедры кардиологии, сердечно-сосудистой и торакальной хирургии института непрерывного медицинского и фармацевтического образования, заведующий кардиохирургическим отделением ФГБОУ ВО ВолгГМУ Минздрава Рос