Laparoscopically assisted aneurysmorrhaphy for iliac artery aneurysms following endovascular repair: reports of two cases.

Endovascular aneurysm repair (EVAR) is commonly utilized for iliac artery aneurysms (IAA), yet some cases necessitate additional intervention due to aneurysm re-expansion. We report two cases: a 68-year-old male with a left internal IAA (IIAA) and an 80-year-old female with both a left common iliac artery aneurysm (CIAA) and IIAA, who underwent aneurysmorrhaphy following initial EVAR. Both procedures were successful, significantly reducing aneurysm size without immediate complications. The use of laparoscopy in aneurysmorrhaphy enhances oversight of inflow vessels and facilitates suturing in deep pelvic areas. Our cases indicate that incorporating laparoscopy can substantially improve surgical outcomes.