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Presentation transcript:

The retroperitoneal approach to the abdominal aorta in the endovascular era Christopher P. Twine, MD, FRCS, Ian F. Lane, MD, FRCS, Ian M. Williams, MD, FRCS Journal of Vascular Surgery Volume 56, Issue 3, Pages 834-838 (September 2012) DOI: 10.1016/j.jvs.2012.04.021 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Patient positioning. The ribs and iliac crest are outlined in blue. Line 1 represents Williams'4 original incision, and line 2 represents a more contemporary incision useful for suprarenal aortic exposure.7,8 Journal of Vascular Surgery 2012 56, 834-838DOI: (10.1016/j.jvs.2012.04.021) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Retraction system in place before repair. Note the left iliac clamp has been placed percutaneously to minimize the incision and number of instruments in the operative field. Journal of Vascular Surgery 2012 56, 834-838DOI: (10.1016/j.jvs.2012.04.021) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Completed retroperitoneal (RP) repair of a juxtarenal abdominal aortic aneurysm. The duodenum and left ureter are seen to the left of the open sac. Journal of Vascular Surgery 2012 56, 834-838DOI: (10.1016/j.jvs.2012.04.021) Copyright © 2012 Society for Vascular Surgery Terms and Conditions