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Comparative characteristic of surgical approaches for aneurysms of thoracoabdominal aorta

Belov, I.V.; Komarov, R.N.; Stepanenko, A.B.; Gens, A.P.; Charchian, E.R.

Khirurgiia 7: 26-30

2007

ISSN/ISBN: 0023-1207
PMID: 17828137
Document Number: 606698
The surgical approaches for aneurysms of thoracoabdominal aorta are analyzed. Both thoracoretroperitoneal and thoracolaparotomic approaches are appropriate; they are up to quality of visualization and manipulation on low-thoracic part, visceral branches and bifurcation of aorta that is verified by experimental studies (wound depth 11-15 cm, angle of surgical action 100-110 degrees, angle of surgical action axis 80-90 degrees). The level of thoracotomy and type of approach depends on variant of lesion and planned reconstruction. Modified thoracophrenopararectal approach (wound depth 11.4+/-0.2 cm, angle of surgical action 97.0+/-3.7 degrees, angle of surgical action axis 88.0+/-2.0 degrees) is optimal for manipulations on aortic isthmus.

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