| Transperitoneal |
| Advantages |
| Most rapid, greatest flexibility |
| Provides widest access |
| Enables evaluation of intra-abdominal pathology |
| Disadvantages |
| Longer ileus |
| Potential for greater fluid losses |
| Difficulty with exposure and control for juxta – or pararenal AAA |
| Retroperitoneal |
| Advantages |
| Avoids hostile abdomen |
| Facilitates exposure and control for juxta-pararenal AAA |
| Potential for less ileus, other physiologic stress |
| Obesity |
| Inflammatory AAA/horseshoe kidney |
| Disadvantages |
| Poor access to right renal and iliac arteries |
| Cannot evaluate intra-abdominal pathology |
| Longer to open and close |
| More flank bulges, chronic wound pain |
AAA, Abdominal aortic aneurysm.