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Updated: Jun 5, 2026
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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
Thoraco-abdominal aorta revascularization through a retroperitoneal approach
Zheng Yue-hong1, Yu Kun, Zhang Jie-feng
1Department of Vascular Surgery, Chinese Academy of Medical Sciences, Beijing 100730, China. jiefengzhang2008@vip.sina.com
Summary
The retroperitoneal approach in aortic surgery is safe and feasible. This method showed a low incidence of postoperative pulmonary complications in a small patient cohort.
Area of Science:
- Vascular Surgery
- Surgical Approaches
Background:
- Aortic diseases require effective surgical interventions.
- Minimally invasive techniques are increasingly explored for aortic repair.
Purpose of the Study:
- To evaluate the safety and applicability of the retroperitoneal approach for aortic surgery.
- To assess outcomes in patients undergoing aortic repair via this approach.
Main Methods:
- Retrospective analysis of 7 patients with aortic diseases treated between 2007-2008.
- Procedures included artificial graft for aneurysms and aortic-iliac artery bypass.
- Specific techniques involved Zenith stent for hybrid reconstruction in some cases.
Main Results:
- No operative or early postoperative mortality was recorded.
- Absence of perioperative intestinal adhesion or ureteral obstruction.
- One case experienced delayed paraplegia and graft infection, managed with rehabilitation.
Conclusions:
- The retroperitoneal approach is a safe and viable option for aortic surgery.
- This technique is associated with a reduced risk of postoperative pulmonary complications.
