Left sub costal minilaparotomy in aortic surgery.

Area of Science:

• Vascular Surgery
• Minimally Invasive Surgery

Background:

• Atherosclerotic aorto-iliac occlusive disease and aneurysms require effective surgical intervention.
• Traditional open surgeries can be associated with significant patient morbidity.

Purpose of the Study:

• To present a specific surgical technique: left subcostal transperitoneal minilaparotomy.
• To evaluate the efficacy and outcomes of this technique in patients undergoing aorto-iliac reconstructions.

Main Methods:

• A left subcostal minilaparotomy incision (10-15 cm) was utilized.
• The procedure involved conventional aortic and iliac artery dissection without routinely using self-retaining retractors.
• Patients received blended anesthesia and intensive postoperative training.

Main Results:

• The technique was applied to 40 patients for aorto-iliac reconstructions.
• Patients experienced a better outcome with discharge between the 3rd and 5th postoperative day.
• The approach demonstrated benefits of minimally invasive surgery without the high cost of endovascular or laparoscopic methods.

Conclusions:

• Left subcostal minilaparotomy is a viable and effective minimally invasive surgical option.
• This technique offers a cost-effective alternative with proven benefits for treating aorto-iliac vascular conditions.