[Surgical technique and tools for surgery at aorto-iliac zone from mini-approach].

Original method of aorto-bifemoral bypass from mini-approach and special tool kit are described. Surgery from mini-approach (to aorta through 6 cm median minilaparotomy) has been performed at 133 patients. Special tools and surgical technique for main types of aorto-iliac vascular reconstructions (bypass, grafting) are described in detail; main intraoperative parameters (general time of surgery, time of aorta clamping, volume of blood loss) are evaluated. Conversion to standard laparotomy was necessary at 6 from 133 cases. Original tool kit permits to perform surgical manipulations at limited space without technical difficulties.