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A modified technique of transperitoneal direct approach for totally laparoscopic aortoiliac surgery
Abstract
Objective:
To present our modification of the transperitoneal direct approach (TDA) for totally laparoscopic aortoiliac surgery.
Methods And 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.
Conclusion:
The main advantage of TDA is reduced dissection of the aorta and pelvic arteries resulting in lowered blood loss and lymphatic injury.