J Minim Invasive Surg 2002; 5(1): 71-74

Published online April 20, 2002

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

내장골 동맥류의 복강경 절제

조규열·이상권·박승철·김원우·전해명·김응국

가톨릭대학교 의과대학 외과학교실

Laparoscopic Resection of an Internal Iliac Artery Aneurysm - a case report -

Kyu Youl Cho, M.D., Sang Kuon Lee, M.D., Seung Cheol Park, M.D., Won Woo Kim, M.D., Hae Myung Jeon, M.D. and Eung Kook Kim, M.D.

Department of Surgery, St. Mary’s Hospital, The Catholic University of Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Isolated internal iliac artery aneurysms are rare, but they are associated with significant morbidity and mortality. Surgical management is warranted when they are greater than 3.0 cm in diameter because when ruptured, mortality of 58% is reported. Traditionally, surgical treatment consisted of proximal ligation, combination of resection and grafting, distal revascularization or obliterative endoaneurysmorraphy, being this last one, the method of choice. However, the role of minimally invasive methods, such as the radiologically guided embolization recently gained popularity. Laparoscopic resection is a good alternative to the open and interventional methods because it is minimally invasive, while the mass effect of the aneurysm is completely eliminated. We performed a successful laparoscopic resection of an isolated internal iliac artery aneurysm in a 69-year old male patient who presented with a retroperitoneal tumor of 4.0 cm in diameter. The patient had an uneventful recovery and was discharged from hospital on postoperative day 3. We believe that this is the first laparoscopic trial in patient with internal iliac artery aneurysm in the literature.

Keywords Laparoscopy, Resection, Internal iliac artery, Aneurysm.

Article

J Minim Invasive Surg 2002; 5(1): 71-74

Published online April 20, 2002

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

내장골 동맥류의 복강경 절제

조규열·이상권·박승철·김원우·전해명·김응국

가톨릭대학교 의과대학 외과학교실

Laparoscopic Resection of an Internal Iliac Artery Aneurysm - a case report -

Kyu Youl Cho, M.D., Sang Kuon Lee, M.D., Seung Cheol Park, M.D., Won Woo Kim, M.D., Hae Myung Jeon, M.D. and Eung Kook Kim, M.D.

Department of Surgery, St. Mary’s Hospital, The Catholic University of Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Isolated internal iliac artery aneurysms are rare, but they are associated with significant morbidity and mortality. Surgical management is warranted when they are greater than 3.0 cm in diameter because when ruptured, mortality of 58% is reported. Traditionally, surgical treatment consisted of proximal ligation, combination of resection and grafting, distal revascularization or obliterative endoaneurysmorraphy, being this last one, the method of choice. However, the role of minimally invasive methods, such as the radiologically guided embolization recently gained popularity. Laparoscopic resection is a good alternative to the open and interventional methods because it is minimally invasive, while the mass effect of the aneurysm is completely eliminated. We performed a successful laparoscopic resection of an isolated internal iliac artery aneurysm in a 69-year old male patient who presented with a retroperitoneal tumor of 4.0 cm in diameter. The patient had an uneventful recovery and was discharged from hospital on postoperative day 3. We believe that this is the first laparoscopic trial in patient with internal iliac artery aneurysm in the literature.

Keywords: Laparoscopy, Resection, Internal iliac artery, Aneurysm.

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