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Khirurgii

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Year 2020 Vol. 28 No 3

REVIEWS

YU.V. BELOV 1, I.A. GUBAREV 1, 2, A.Z. SALEKH 2, K.B. FROLOV 2, K.N. RYBAKOV 2

MINI-ACCESS IN THE ABDOMINAL AORTA SURGERY

Russian Research Surgery Center named after Academician B.V.Petrovsky 1,
N.I. Pirogov Municipal Clinical Hospital ¹1 2, Moscow
The Russian Federation

Minimally invasive surgery is an area of general surgery that allows surgical interventions to be performed with less damage to normal tissues and organs. Recently, a growth of operations on the aorto-iliac segment with the use of mini-laparotomy incisions is increasingly observed. Minimally invasive technologies are implemented through classical techniques of the reconstructive surgery of the abdominal aorta. According to most authors, the technique of mini-laparotomy access to the aorta has already been sufficiently studied and introduced into the standard clinical practice of many hospitals in our country. However, up to the present, many issues relating to abdominal aorta surgery from mini-access remain not covered: postoperative complications, features of surgical technique, causes of failures and conversion to laparotomy to complete the procedure, are not sufficiently described. Most surgeons don’t have yet clear information about the spatial structure for the reproduction of manual techniques in the delimited wound volume. In addition, at present, despite a large number of scientific information in the native and foreign literature, there are no reliable data on modeling access to the «working» section of the abdominal aorta during operations for Leriche syndrome and abdominal aortic aneurysms by applying mini-laparatomic access.

Keywords: Leriche syndrome, abdominal aortic aneurysm, mini-access, mini-laparotomy, aorta surgery
p. 318-328 of the original issue
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Address for correspondence:
119049, Russian Federation,
Moscow, Leninsky pr., 8,
N.I. Pirogov Municipal Clinical Hospital No1,
Center for Vascular, X-ray Endovascular
Surgery and Minimally Invasive Phlebology,
tel. mobile:+7 985 353 51 90,
e-mail: angiodoc@mail.ru,
Gubarev Igor’ A.
Information about the authors:
Belov Yurii V., MD, Professor, Academician of RAS, Head of the Cardio-Aortic Surgery, Russian Research Surgery Center Named after Academician B.V.Petrovsky, Moscow, Russian Federation.
http://orcid.org/0000-0002-9280-8845
Gubarev Igor’ A., Aspirant, Russian Research Surgery Center Named after Academician B.V.Petrovsky, Cardiovascular Surgeon, No1. Pirogov Municipal Clinical Hospital No1, Moscow, Russian Federation.
http://orcid.org/0000-0003-3961-5670
Salekh Amro Z., Cardiovascular Surgeon, N.I. Pirogov Municipal Clinical Hospital No1, Moscow, Russian Federation.
http://orcid.org/0000-0001-6479-1743
Frolov Konstantin B., PhD, Head of the Center of Vascular, Endovascular Surgery and Minimally Invasive Phlebology of N.I. Pirogov Municipal Clinical Hospital No1, Moscow, the Russian Federation.
https://orcid.org/0000-0001-6310-3590
Rybakov Kirill N., Cardiovascular Surgeon, N.I. Pirogov Municipal Clinical Hospital No1, Moscow, Russian Federation.
https://orcid.org/0000-0002-6530-3382
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