Варианты мини-доступа в хирургии корня аорты

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.

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