A modified technique of transperitoneal direct approach for totally laparoscopic aortoiliac surgery.
OBJECTIVE
To present our modification of the transperitoneal direct approach (TDA) for totally laparoscopic aortoiliac surgery.


RESULTS
From September 2003 to August 2005 a total of 52 patients underwent laparoscopic operations for aortoiliac disease (50 aortoiliac occlusive disease; two abdominal aortic aneurysm). The modified TDA was used in 20 patients.


CONCLUSIONS
The main advantage of TDA is reduced dissection of the aorta and pelvic arteries resulting in lowered blood loss and lymphatic injury.
Department of Vascular Surgery, Na Homolce Hospital, Roentgenova, Praha, Czech Republic. petr.stadler@homolka.cz
P
P
Stádler
P
P
Sebesta
P
P
Vitásek
P
P
Matous
K
K
El Samman
D001011:Aorta / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D004691:Endarterectomy / Q000379:methods; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D014656:Vascular Surgical Procedures / Q000379:methods*