For difficult reconstruction of the aorta in the visceral segment, a left flank retroperitoneal approach is used most frequently. The authors retrospectively evaluate the left retroperitoneal approach in the management of abdominal aortic aneurysms during a 10-year period.
From the total number of 445 operated patients, the left-sided retroperitoneal approach was used in 23 cases. Conclusion: based on favorable results, the authors confirm that this approach is rightly considered as a choice in the technically demanding reconstruction of the aorta in the visceral segment.