A Modified Technique of Transperitoneal Direct Approach for Totally Laparoscopic Aortoiliac Surgery

(A) Laparoscopic vascular procedures. 1. Iliofemoral bypass/IF/16 (30.8%), 2. Aortounifemoral bypass/AUF/17 (32.7%), 3. Aortobifemoral bypass/ABF/15 (28.9%), 4. Abdominal aortic aneurysm/AAA/2 (3.8%), 5. Aortoiliac endarterectomy (patch) 2 (3.8%) (B) Position of trocars. (C) Demographics patient data. CAD, coronary artery disease; HTN, hypertension; DM, diabetes mellitus; COPD, chronic obstructive pulmonary disease. (D) Intraoperative and outcome data.

(A) Position of colon and exposure of infrarenal aorta. (B) Central end-to-side anastomosis of an aortobifemoral bypass. (C) The posterior peritoneum is stitched up to the abdominal wall. (D) Central and peripheral anastomoses of a tube graft.

(A) Patient's position on the operating table. (B) Dacron vascular prosthesis with preattached stitches. (C) The cosmetic effect after a total laparoscopic AAA resection.