Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Minithoracophrenolumbotomy as an alternative approach for the correctionfor extravasal lesions of mesenteric arteries

Authors: V.S. Arakelyan 1, R.G. Bukatsello 1 2, M.V. Shumilina 1, V.L. Khon 1

Company:
1 Bakoulev National Scientific and Practical Center for Cardiovascular Surgery, Ministry of Health of the Russia, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation;
2 I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russia, ul. Trubetskaya, 8, stroenie 2, Moscow, 119991, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2017-14-1-45-50

UDC: 616.136-089

Link: Clinical Physiology of Blood Circulaiton. 2017; 14 (1): 45-50

Quote as: Arakelyan V.S., Bukatsello R.G., Shumilina M.V., Khon V.L. Minithoracophrenolumbotomy as an alternative approach for the correction for extravasal lesions of mesenteric arteries. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2017; 14 (1): 45–50 (in Russ.).

Received / Accepted:  23.11.2016/24.11.2016

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Abstract

Traditionally, surgical treatment for extravasal mesenteric artery lesions involves the use of two basic approaches – midline laparotomy and thoracophrenolumbotomy. In the last few years, experience allowed to perform decompression interventions on visceral vessels using laparoscopic techniques or da Vinci robot. However, as practice and literature data shows, each of them has its own technical features, advantages and disadvantages. In most cases, the choice of approach due to preferences, clinic equipment and technical skills specific surgeon or surgical school. Unfortunately, this is rarely taken into account the variability of the clinical and instrumental picture of extravasal compression syndrome, and conducted intervention is not always retains the principles of radicalism and entails the risk of recurrence of symptoms or no clinical effect. It is also an important issue remains the possibility of saving the most radical option, subject to correction cosmetic result. This clinical observation of topical diagnosis, a detailed knowledge of anatomic landmarks and features of pathophysiology at extravasal compression of the celiac trunk allowed minimal access for the first time use, which could become an alternative to traditional open and laparoscopic.

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