Philippe Piquet, MD, Philippe Amabile, MD, Gilles Rollet, MD

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Presentation transcript:

Minimally invasive retroperitoneal approach for the treatment of infrarenal aortic disease Philippe Piquet, MD, Philippe Amabile, MD, Gilles Rollet, MD Journal of Vascular Surgery Volume 40, Issue 3, Pages 455-462 (September 2004) DOI: 10.1016/j.jvs.2004.06.033 Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 1 Location of minilombotomy and placement of trocars. A, Minilombotomy; B, aortic clamp; C, camera; D, graft. Journal of Vascular Surgery 2004 40, 455-462DOI: (10.1016/j.jvs.2004.06.033) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Operating position. B, Location of minilombotomy far from the tip of the eleventh rib*. C, Operating room setting. Surgeon is standing on the left side of the patient, positioning self-retaining retractors. D, Incision. Journal of Vascular Surgery 2004 40, 455-462DOI: (10.1016/j.jvs.2004.06.033) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 3 A, Video-assisted exposure of the aorta: left renal artery (r), neck of the aneurysm (n), and aneurysm (a). B, Aortic cross-clamping. C, The aneurysm sac has been opened. D, Self-retaining retractors with camera; the graft is inserted through a trocar (g); f indicates Fogarty catheter into the lumen of the right common iliac artery. Journal of Vascular Surgery 2004 40, 455-462DOI: (10.1016/j.jvs.2004.06.033) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 4 A, Proximal anastomosis. B, Right iliac anastomosis carried out with video-assisted visualization: i indicates ostium of the right common iliac artery; f indicates Fogarty catheter into the lumen of the right common iliac artery; C, Left iliac anastomosis. D, Wound closure. Journal of Vascular Surgery 2004 40, 455-462DOI: (10.1016/j.jvs.2004.06.033) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions