Robot-Assisted Thoracofemoral Bifurcation Bypass

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Abstract

INTRODUCTION: Thoracofemoral bypass surgery for occlusion of aortofemoral segment is a variant of choice for treatment of patients with impossibility of performing traditional aortofemoral bypass. The use of robot-assisted technologies in the formation of a proximal anastomosis permits to reduce the trauma of surgical access and to improve the results of surgical intervention. The article reports a case of a patient with occlusion of the aorto-iliac segment and total calcification of the infrarenal aorta, who underwent robot-assisted thoracofemoral bifurcation bypass surgery.

CONCLUSION: Use of modern technologies in the vascular surgery permits to reduce traumatization, minimize the effect of the human factor, improve visualization and freedom of movement and shorten the recovery period and the period of hospital stay.

About the authors

Vladimir А. Porkhanov

Scientific Research Institute — Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University

Email: kkb1@mail.ru
ORCID iD: 0000-0003-0572-1395
SPIN-code: 2446-5933

MD, Dr. Sci. (Med.), Professor

Russian Federation, Krasnodar; Krasnodar

Aslan B. Zakeryayev

Scientific Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Email: aslan.zakeryaev@gmail.com
ORCID iD: 0000-0002-4859-1888
SPIN-code: 6519-8918

MD Cardiovascular Surgeon

Russian Federation, Krasnodar

Roman А. Vinogradov

Scientific Research Institute — Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University

Email: viromal@mail.ru
ORCID iD: 0000-0001-9421-586X
SPIN-code: 7211-3229

MD, Dr. Sci. (Med.)

Russian Federation, Krasnodar; Krasnodar

Tarlan E. Bakhishev

Scientific Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Author for correspondence.
Email: tarlan.bakhishev@yandex.ru
ORCID iD: 0000-0003-4143-1491
SPIN-code: 9558-6940

MD, Cardiovascular Surgeon

Russian Federation, Krasnodar

Gerey А. Khangereyev

Kuban State Medical University

Email: han.gerey@mail.ru
ORCID iD: 0000-0002-8667-2072
SPIN-code: 5864-1298

Resident of the Department of Cardiology and Cardiac Surgery

Russian Federation, Krasnodar

Sultan R. Butayev

Scientific Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Email: dr.sultan@inbox.ru
ORCID iD: 0000-0001-7386-5986
SPIN-code: 3900-4985

MD, Cardiovascular Surgeon

Russian Federation, Krasnodar

Аnastasiyа V. Erastova

Kuban State Medical University

Email: kijnat@yandex.ru
ORCID iD: 0000-0002-4250-0893
SPIN-code: 6583-3095

Resident of the Department of Cardiology and Cardiac Surgery

Russian Federation, Krasnodar

Aleksandr G. Baryshev

Scientific Research Institute — Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University

Email: A.barishev@icloud.com
ORCID iD: 0000-0002-6735-3877
SPIN-code: 2924-1648

MD, Dr. Sci. (Med.)

Russian Federation, Krasnodar; Krasnodar

References

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Supplementary files

Supplementary Files
Action
1. JATS XML
2. Рис. 2. Вид на сформированный проксимальный анастомоз между синтетическим протезом и аортой. Адаптация проксимального анастомоза между нисходящей частью грудной аорты и синтетическим протезом

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3. Fig. 1. Position of the patient on the operating table (А). The layout of trocars and open surgical approaches (В).

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4. Fig. 3. Postoperative wounds after removal of drainages (after 3 days): front view (A), side view (B).

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5. Fig. 4. Three-dimensional reconstruction of multispiral computed tomography with intravenous contrast: before surgical intervention (A), after surgical intervention (B).

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