Comparison of transperitoneal and retroperitoneal approach in aorto iliac occlusive disease.

Introduction: Despite the fact that the transperitoneal approach (TP) is most widely accepted approach to the aortic surgery because it is simple, fast, and provides good exposure of the abdominal cavity and vascular structures, lately have been increasingly advocated as an alternative retroperitoneal (RP) approach in order to avoid entering peritoneal sac, achieving lower physiological trauma and faster establishment of gastrointestinal function.

Objective: The aim of this study was to compare the basic peri and postoperative results of TP and RP approaches in the surgical treatment of AIOD.

Patients And Methods: The study included 114 patients with aortoiliac occlusive disease (AIOD) that underwent surgical treatment at the Department of Vascular Surgery, Clinical Center University of Sarajevo from January 2010 until December 2012 year.