ADVANTAGES OF CLAMSHELL SURGICAL ACCESS IN THORACIC AORTIC SURGERY
DOI:
https://doi.org/10.11603/1811-2471.2020.v.i2.11350Keywords:
thoracic aortic aneurysm, double pleural surgical accessAbstract
The problem of choosing the optimal surgical access in thoracic aortic surgery is considered in the article on the basis of practical experience of complex clinical cases. Given the well-known objective assessment of the quality of access by the method of A. Yu. Sozon-Yaroshevich, it was found that the operative access "clamshell" is characterized by the best intraoperative visual control of hard-to-reach areas of the thoracic cavity, which increases the effectiveness of reconstructive surgery of the ascending part and the aortic arch, its branches with widespread damage to the descending aorta.
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