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[Robot-assisted linear aortofemoral bypass surgery].
Khirurgiia (Mosk)
October 2023
Research Institute - Ochapovsky Regional Clinical Hospital No. 1, Krasnodar, Russia.
Aortofemoral bypass surgery is still the «gold standard» for aortoiliac lesions with excellent results and long-term patency despite improvement of endovascular surgery. Extensive surgical approaches are accompanied by high risk of postoperative complications. Development of minimally invasive surgery and achievements of computerized technologies made a revolution in all surgeries and minimize trauma following complex reconstructive procedures.
View Article and Find Full Text PDF[Robotic-assisted operations for pathology of the aortoiliac segment: own experience].
Angiol Sosud Khir
December 2020
Cardiosurgical Department of Vascular Pathology and Hybrid Technologies, National Medical Research Centre named after Academician E.N. Meshalkin under the RF Ministry of Public Health, Novosibirsk, Russia.
Aim: The present study was aimed at assessing the results of a total of 40 vascular operations carried out using the robotic-assisted da Vinci surgical system.
Patients And Methods: Between January 2013 and September 2019, a total of 40 robotic-assisted vascular operations were performed at the Department of Vascular Pathology and Hybrid Technologies of the Centre of Vascular and Hybrid Surgery. Of these, 31 interventions were carried out for occlusion of the aortoiliac segment and 9 for removal of an aneurysm of the infrarenal portion of the abdominal aorta.
[Robot-assisted operations in vascular surgery].
Angiol Sosud Khir
September 2020
Department of Vascular Surgery, Petrovsky National Research Centre of Surgery, Moscow, Russia; Department of Hospital Surgery, I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation, Moscow, Russia.
The article contains a systematic review of the literature dedicated to vascular robot-assisted operations, also discussing the use of robotic technologies in vascular surgery, their advantages and disadvantages. In so doing, we studied the experience of Russian and leading international surgical centres, comparing the reported outcomes by such parameters as the average duration of the operation, mean time of aortic cross-clamping, time spent for anastomosis formation, frequency of postoperative complications, etc. Benefits of robot-assisted operations allowed the latter to occupy the leading positions in various fields of surgery, although the use of robots in vascular surgery has only begun to gain popularity.
View Article and Find Full Text PDFVolume and health outcomes: evidence from systematic reviews and from evaluation of Italian hospital data.
Epidemiol Prev
August 2018
Dipartimento di epidemiologia del Servizio sanitario regionale, ASL Roma1, Regione Lazio, Roma.
BACKGROUND Improving quality and effectiveness of healthcare is one of the priorities of health policies. Hospital or physician volume represents a measurable variable with an impact on effectiveness of healthcare. An Italian law calls for the definition of «qualitative, structural, technological, and quantitative standards of hospital care».
View Article and Find Full Text PDF[First experience with total laparoscopic reconstructive operations in occlusive lesion of the aortoiliac arterial segment].
Angiol Sosud Khir
August 2017
Chair of Faculty Surgery with the Course of Endoscopic Surgery and with the Course of Cardiovascular Surgery of the Faculty for Advanced Medical Training, Volgograd State Medical University of the RF Health Ministry, Russia.
According to the TASC II and the Russian National Guidelines on management of patients with lower limb arterial diseases, in patients with type C and D lesions of the arterial bed performing aortofemoral bifurcation bypass grafting is preferable. Laparoscopic technique makes it possible to combine advantages of minimally invasive surgery with well-known remote results of open reconstructive operations on the aortoiliac segment. The study included a total of 54 patients undergoing treatment at the Cardiosurgical Department of Clinic No 1 of the Volgograd State Medical University over the period from January 2012 to September 2015.
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