[Conduction of iliac-femoral arterial reconstruction using retroperitoneal miniaccess].

There was summarized the experience of treatment of 25 patients for obliterating atherosclerosis of external iliac artery, in 10 of whom the external artery reconstruction, using the elaborated miniinvasive method, was performed. The intraoperative blood loss and postoperative complications rate reduction, the quality of life improvement, the stationary treatment period shortening and its cost lowering, the achievement of better cosmetic effect were noted.

[Long-term results of surgical treatment of the patients with Leriche syndrome].

The paper analyzed results of surgical treatment of the 94 patients with Leriche syndrome and researched the long-term results of 52 (55.3%) cases. Following 5 years patency after aortofemoral reconstructions was observed in 34 (65.

[Surgical treatment of patients with Leriche syndrome--immediate results].

Comparative analysis of the various methods of surgical treatment efficacy was conducted in patients suffering Leriche syndrome, including bifurcational, one-sided and multilevel reconstruction. Clinical indices of intra- and postoperative periods, the frequency of thrombotic and nonthrombotic complications occurrence, lethality for every kind of intervention were analyzed. It was established, that tactics of surgical treatment of Leriche syndrome ought to be individualized, but in presence of clinical and anatomical conditions the one-sided reconstruction must be preferred.

[Remote results of surgical treatment of the patients with multilevel atherosclerotic damage of the main arteries of the lower extremity].

The results of treatment of 131 patients, suffering multilevel atherosclerotic affection of abdominal aorta and the main arteries of the lower extremity, are adduced. Algorhythm of arterial reconstruction performance depending on the spread of the aorto-iliac and femoro-politeal segments affection, was elaborated. There were applied two methods of treatment: reconstruction of aorto-iliac segment only and simultaneous reconstruction of arteries on two levels.

[Application of minimally invasive lumbar sympathectomy in the treatment of patients with obliterating diseases of the lower extremity vessels].

The method of performance and immediate results of miniinvasive lumbar sympathectomy using retroperitoneal miniaccess were adduced in the work. In 2005 yr on the base of division of vascular surgery were operated 19 patients. Application of endoscopic instruments and optic system of illumination gave the possibility to remove lumbar sympathetic nodes in conditions of narrow (3-5 cm) surgical access and operative field.

[Differential diagnosis of Raynaud's phenomenon--modern state of the problem].

Results of examination of 108 patients with the Raynaud's phenomenon were analyzed. The differential diagnosis algorhythm for the disease and the syndrome as well was elaborated. The leading role of the clinical features and the data of the physical examination methods in the diagnosis establishing was proved.

[A new method of performance of thoracic sympathectomy, based on the analysis of peculiarities of anatomical architecture of cervicothoracic sympathetic stem].

Peculiarities of anatomic structure (disposition, form, size) of stellate ganglion, II and III thoracic sympathetic ganglions together with their branches were suggested. There were established their morphological differences. Peculiarities of anatomical structure of the "lateral branch" II sympathetic ganglions were studied, its role in occurrence of the disease recurrence after performance of the thoracic sympathectomy performance was proved.

[Surgical anatomy of the thoracic sympathetic trunk].

Peculiarities of anatomical structure of cervical and thoracic parts of sympathetic trunk were studied. There was trusted, that in the upper extremities innervation a "lateral branch" of II thoracic sympathetic ganglion owes important significance. The method of TV surgical thoracic sympathectomy, permitting to improve late follow-up results of treatment in patients with Raynaud disease was elaborated.