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

ObjectiveTo present our modification of the transperitoneal direct approach (TDA) for totally laparoscopic aortoiliac surgery.Methods and resultsFrom 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.ConclusionThe main advantage of TDA is reduced dissection of the aorta and pelvic arteries resulting in lowered blood loss and lymphatic injury.