Stádler P, Sebesta P, Vitásek P, Matous P, El Samman K
Department of Vascular Surgery, Na Homolce Hospital, Roentgenova, Praha, Czech Republic.
Eur J Vasc Endovasc Surg. 2006 Sep;32(3):266-9. doi: 10.1016/j.ejvs.2006.01.023. Epub 2006 Mar 29.
To present our modification of the transperitoneal direct approach (TDA) for totally laparoscopic aortoiliac surgery.
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.
The main advantage of TDA is reduced dissection of the aorta and pelvic arteries resulting in lowered blood loss and lymphatic injury.