Eponymous names of topographic landmarks and anatomical structures of a normally formed heart. Part 2. Eponyms of the human heart conduction system, nerves, great vessels, and coronary arteries

Background: Laparotomic access is considered the standard surgical access in patients with abdominal aortic aneurysms and Leriche syndrome. To minimize surgical trauma and improve treatment outcomes, various minimally invasive approaches have been developed and proposed. Today, there are no randomized clinical studies comparing minimally invasive approaches in the medical literature. Superiority and inferiority of different surgical access to the abdominal aorta remain relevant for cardiothoracic surgery.

Aim: To evaluate the effectiveness of robot-assisted and minilaparotomy access approaches in patients with abdominal aortic disease.

Methods: The outcomes of patients with abdominal aortic disease who underwent surgical treatment using minilaparotomic access (n=71) and robot-assisted access (n=31) were assessed.

Results: Both groups were comparable at baseline, but differed significantly in the incidence of peri- and postoperative complications, surgery duration, conversion rate, bleeding and intraoperative blood loss. Conclusion: The mean surgery duration was significantly lower in the robot-assisted access group compared to the minilaparotomy access group (143.2 vs. 268 min). Complications were determined in 10 patients (32.2%) in the robot-assisted access group versus 3 patients (4.2%) in the minilaparotomy access group. Conversion (9.6%) was observed only in the robot-assisted group. The mean volume of intraoperative blood loss was 475.5 mL and 970 mL in the robot-assisted access group and minilaparotomy access group. is superior in terms of reducing surgery duration, infectious complications, and intraoperative blood loss. However, the use of minilaparotomy is more effective in terms of the absence of conversion.

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