Totally laparoscopic aortobifemoral bypass: a new and simplified approach.

The patient is placed in a right lateral and rotated decubitus, with the abdomen rotated at 45 (Fig. 1a). The abdominal slope obtained with the maximal right rotation of the operating table (ALM, OrleÂans, France) reaches 65 . The video monitor is viewed distally on the left side of the patient. The surgeon is facing the patient's abdomen (Fig. 1b). The 0 endoscope (Storz-France SA, Paris, France) is positioned through a 10 mm-trocar (Storz-France SA, Paris, France) introduced on the anterior axillary line 3 cm below the costal margin. Figure 1b shows the position of the other trocars. A left retrocolic dissection is conducted in line of the Told fascia, down to reach the left renal vein. Due to the right lateral decubitus, the small bowel and left mesocolon drop fall to