grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2023-182-5-52-58grekov-2300Research ArticleОБЗОРЫREVIEWSВарианты мини-доступа в хирургии корня аортыThe possibilities of minimally invasive approach in aortic root surgeryhttps://orcid.org/0000-0002-3904-6415КомаровР. Н.KomarovR. N.

Роман Николаевич Комаров, доктор медицинских наук, профессор, зав. кафедрой сердечно-сосудистой хирургии Института профессионального образования, директор клиники аортальной и сердечно-сосудистой хирургии УКБ № 1.

Москва

Komarov Roman N. - Dr. of Sci. (Med.), Professor, Head of the Department of Cardiovascular Surgery of the Institute of Professional Education, Director of the Clinic of Aortic and Cardiovascular Surgery of the University Clinical Hospital № 1.

Moscow

komarovroman@rambler.ruhttps://orcid.org/0000-0002-0476-2120НогиновВ. К.NoginovV. K.

Ногинов Владимир Константинович - врач сердечно-сосудистый хирург кардиохирургического отделения.

194291, Санкт-Петербург, пр. Луначарского, д. 45, к. 2

Noginov Vladimir K. - Cardiovascular Surgeon of the Department of Cardiac Surgery.

45, build. 2, Lunacharsky Ave., Saint Petersburg, 194291

mrnoginov@mail.ruhttps://orcid.org/0000-0002-5170-4978ЭфендиевВ. У.EfendievV. U.

Эфендиев Видади Умудович - кандидат медицинских наук, зав. отделением кардиохирургии.

Санкт-Петербург

Efendiev Vidadi U., Cand. of Sci. (Med.), Head of the Department of Cardiac Surgery.

Saint Petersburg

vidadiue@gmail.comhttps://orcid.org/0000-0001-9296-3119ДаначевА. О.DanachevA. O.

Даначев Александр Одиссеевич - кандидат медицинских наук, врач сердечно-сосудистый хирург клиники аортальной и сердечно-сосудистой хирургии УКБ № 1.

Москва

Danachev Alexander O. - Cand. of Sci. (Med.), Cardiovascular Surgeon of the Clinic of Aortic and Cardiovascular Surgery of the University Clinical Hospital № 1.

Moscow

danachev@gmail.comФедеральное государственное автономное образовательное учреждение высшего образования «Первый Московский государственный медицинский университет имени И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский университет)РоссияSechenov First Moscow State Medical UniversityRussian FederationГосударственное бюджетное учреждение здравоохранения «Ленинградская областная клиническая больница»РоссияLeningrad Regional Clinical HospitalRussian FederationСанкт-Петербургское государственное бюджетное учреждение здравоохранения «Городская Мариинская больница»РоссияMariinsky City HospitalRussian Federation20231905202418255258Copyright © Комаров Р.Н., Ногинов В.К., Эфендиев В.У., Даначев А.О., 20242024Комаров Р.Н., Ногинов В.К., Эфендиев В.У., Даначев А.О.Komarov R.N., Noginov V.K., Efendiev V.U., Danachev A.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/2300

Тенденция к миниинвазивности и великолепному косметическому эффекту затронула наиболее сложный раздел кардиохирургии – корень аорты. На сегодняшний день существуют различные малотравматичные доступы для коррекции патологии корня аорты, которые используются в единичных клиниках в мире. Целью данного литературного обзора было изучить настоящее состояние миниинвазивной хирургии корня аорты и критически оценить методы коррекции его патологии из разных видов мини-доступа. Представлен обзор литературы миниинвазивного подхода к этим операциям. Выполнено взаимное сравнение мини-доступов, определены их преимущества перед традиционным подходом. Несмотря на привлекательность методики, существуют серьезные ограничения его широкого применения, такие как длительная кривая обучения, крайне низкое количество отдаленных наблюдений и отсутствие многоцентровых, рандомизированных исследований сравнения с традиционным доступом.

The trend towards minimally invasive and excellent cosmetic effect has affected the most difficult section of cardiac surgery – the aortic root. To date, there are various minimally invasive approach for the correction of aortic root pathol ogy, which are used in single clinics in the world. The objective of this literature review was to study the current state of minimally invasive aortic root surgery and critically evaluate methods of correcting its pathology from different types of minimally invasive approach. The minimally invasive approach to these operations is presented in this review of the literature. A mutual comparison of minimally invasive approaches was carried out, their advantages over the traditional approach were determined. Despite the attractiveness of the technique, there are serious limitations of its wide appli cation, such as a long learning curve, an extremely low number of long-term results and the absence of multicenter, randomized comparison studies with traditional approach.

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The authors declare that there are no conflicts of interest present.