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Abstract
Summary. We performed aorto-bifemoral bypass by mini-laparotomy for an 80-year-old patient complaining of intermittent claudication. Angiography revealed multiple stenosis of the bilateral iliac arteries. Computed tomography did not demonstrate any calcification of the lower abdominal aorta. For mini-laparotomy, a 7 cm medial skin incision and bilateral 3 cm inguinal skin incisions were made. After the retroperitoneum was incised, an aorto-bilateral femoral artery bypass route was created by blunt finger dissection. Aorto-bifemoral artery bypass grafting was easily performed in a routine fashion. The patient did not complain of severe post-operative wound pain, and could eat on the 2nd post-operative day. We recommend this method of mini-laparotomy for distal anastomosis involving the common femoral artery in the selected cases with no advanced atherosclerotic changes at the proximal anastomosis site.