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.
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.