1. Three trocars laparoscopic abdominal aortic aneurysm repair
Yinghui Guan, MD, Jun Xu, MD, Heliang Yin, MD, Lei Zhao, MD, Taishi Fang, MD, Xihai Wang, MD 
Journal of Vascular Surgery 
Volume 56, Issue 5, Pages (November 2012)
DOI: /j.jvs
Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2. Fig 1
A, Magnetic resonance angiography showed an abdominal aortic aneurysm between the infrarenal level and the aortic bifurcation. The proximal neck of the aneurysm had an ∼ 90° angle bending toward the left. B, Diagram shows the positions of the surgeon, the assistants, and the nurse around the operating table. C, The position of trocars: 12-mm trocar for the harmonic scalpel (1); 10-mm trocar for the laparoscope (2); and 5-mm trocar for the grasper (3). D, Intraoperative image shows satisfactory exposure of the abdominal aortic aneurysm using three trocars.
Journal of Vascular Surgery  , DOI: ( /j.jvs )
Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3. Fig 2
A, Two laparoscopic bulldog arterial clamps were used to clamp the proximal aneurysm. B, End-to-end laparoscopic anastomosis was performed with running suture. C, Abdominal incisions for the trocars. D, Magnetic resonance angiography at 13 months after the operation showed the anastomosis was patent.
Journal of Vascular Surgery  , DOI: ( /j.jvs )
Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4. Fig 3
A, The “seven trocars method”: Trocars 1 to 4 are used to expose the aneurysm, and trocars 5 to 7 are for clamping and the anastomosis. B, The “three trocars method”: Trocar 1 is a 12-mm trocar for clamping and anastomosis; trocar 2 is a 10-mm trocar for the laparoscope; and trocar 3 is a 5-mm trocar for the grasper and sometimes for suctioning.
Journal of Vascular Surgery  , DOI: ( /j.jvs )
Copyright © 2012 Society for Vascular Surgery Terms and Conditions