Total video-assisted thoracofemoral bifurcation bypass surgery using a robotic system
A. B. Zakeryaev, 
R. A. Vinogradov,
T. E. Bakhishev,
S. R. Butaev,
A. A. Sozaev,
G. A. Khangereev,
E. V. Bestaev,
V. A. Porhanov
R. A. Vinogradov,
T. E. Bakhishev,
S. R. Butaev,
A. A. Sozaev,
G. A. Khangereev,
E. V. Bestaev,
V. A. Porhanov Abstract
Aim: to demonstrate the possibilities of a surgical robot during aorto-femoral reconstructions.
Material and methods: the article presents a clinical case of treatment of a patient with atherosclerotic lesions of the aorta and its branches, occlusion of the infrarenal aorta and iliac arteries, total calcification of the abdominal aorta using robotic surgery.
Results: the patient underwent total endovideosurgical thoracohemoral bypass surgery using a Da Vinci Xi robot. The duration of the surgical intervention was 300 minutes, the time of lateral compression of the aorta was 45 minutes, and the volume of blood loss was 200 ml. The patient was extubated 20 minutes after the end of the operation on the operating table and transferred to the intensive care unit. The patient's postoperative period was uneventful and uneventful. Ischemia of the lower extremities has been stopped.
Conclusion: performing thoracoemoral bypass surgery is the surgery of choice when standard aorto-femoral bypass surgery is not possible. The active introduction of robotics into vascular surgery makes it possible to minimize surgical trauma, which is reflected in improved results of surgical interventions and the rehabilitation period of patients.
Keywords
vascular surgery,
thoracofemoral bypass,
robot-assisted surgery,
da Vinci surgical system,
aortobifemoral bypass,
laparoscopic vascular surgery,
minimally invasive surgery
Supporting agencies: The study was funded by the Kuban Science Foundation and MEDIKA LLC under scientific project No. МФИП20.1/11.
About the Authors
A. B. Zakeryaev
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Aslan B. Zakeryaev- MD, Cardiovascular Surgeon of the Department of Vascular Surgery of The Scientific Research Institute
167, 1 May street, Krasnodar, 350086
R. A. Vinogradov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Russian Federation
Russian Federation
Roman A. Vinogradov - MD, PhD, Cardiovascular Surgeon, Head of the Vascular Surgery Unit of The Scientific Research Institute; Assistant Professor at the Surgery Department No. 1, Faculty of Continuing Professional Development and Retraining
167, 1 May street, Krasnodar, 350086
4, Mitrofana Sedina street , Krasnodar, 350063
T. E. Bakhishev
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Tarlan E. Bakhishev - MD, Cardiovascular Surgeon
167, 1 May street, Krasnodar, 350086
S. R. Butaev
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Sultan R. Butaev - MD, Cardiovascular Surgeon
167, 1 May street, Krasnodar, 350086
A. A. Sozaev
Kuban State Medical University
Russian Federation
Russian Federation
Amirlan A. Sozaev - Resident, Department of Cardiology and Cardiac Surgery
4, Mitrofana Sedina street , Krasnodar, 350063
G. A. Khangereev
Kuban State Medical University
Russian Federation
Russian Federation
Gerey A. Khangereev - Resident, Department of Cardiology and Cardiac Surgery
4, Mitrofana Sedina street , Krasnodar, 350063
E. V. Bestaev
Kuban State Medical University
Russian Federation
Russian Federation
Eduard V. Bestaev - Resident, Department of Cardiology and Cardiac Surgery
4, Mitrofana Sedina street , Krasnodar, 350063
V. A. Porhanov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1; Kuban State Medical University
Russian Federation
Russian Federation
Vladimir A. Porhanov- MD, Phd, Professor, Academician of the RAS, Chief Psycian; Head of the Oncology Department with the Thoracic Surgery Course, Faculty of Continuing Professional Development and Retraining
167, 1 May street, Krasnodar, 350086
4, Mitrofana Sedina street , Krasnodar, 350063
References
1. Bakhishev T.V., Vinogradov R.A., Zakeryaev A.B., et al. Application of robotics in vascular surgery (literature review). Angiol Sosud Khir. 2023;29(4):130–136 https://doi.org/10.33029/1027-6661-2023-29-4-130-136 [In Russ].
2. Porkhanov V.A., Vinogradov R.A., Zakeryaev A.B., et al. Robot-assisted aortobifemoral bypass surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(3): 332–337 DOI: 10.17116/kardio202316031332 [In Russ].
3. Zakeryaev A.B., Vinogradov R.A., Bakhishev T.E., Khangereev G.A., Porkhanov VA. Robot-assisted linear aortofemoral bypass surgery. Khirurgiia (Mosk). 2023;(4):83–88. PMID: 37850900. DOI: 10.17116/hirurgia202304183] [In Russ].
4. Porkhanov V.А., Zakeryayev A.B., Vinogradov R.А., et al. Robot-assisted thoracofemoral bifurcation bypass. IP Pavlov Russian Medical Biological Herald. 2023;31(4): 663–670 DOI: 10.17816/pavlovj248977 [In Russ].
5. Gorman J.F., Douglass F.M. Axillary-femoral artery bypass. Arch Surg. 1965;91:509–512. PMID: 14332415. DOI: 10.1001/archsurg.1965.01320150139027
6. DeAvila R., Doyle J., Heaney J.P. Axillary-femoral bypass. Arch Surg. 1966;92(1):118–119. PMID: 5901248. DOI: 10.1001/archsurg.1966.01320190120029
7. Moore W.S., Hall A.D., Blaisdell F.W. Late results of axillary-femoral bypass grafting. Am J Surg. 1971;122(2):148–154. PMID: 5561330. DOI: 10.1016/0002-9610(71)90309-6
8. Koksal C., Sarikaya S., Zengin M. Thoracofemoral bypass for treatment of juxtarenal aortic occlusion. Asian Cardiovasc Thorac Ann. 2002;10(2):141–144. PMID: 12079938. DOI: 10.1177/021849230201000211
9. Lin J.C. The role of robotic surgical system in the management of vascular disease. Ann Vasc Surg. 2013;27(7):976–983. PMID: 23849652. DOI: 10.1016/j.avsg.2013.02.004
10. Magomedova G.F., Sarkhanidze I.M., Lepshokov M.K., Al'-Iusef N.N., Semeniakin IV, Gavrilenko AV. Robot-assisted operations in vascular surgery. Angiol Sosud Khir. 2020;26(2):190–195 PMID: 32597902. DOI: 10.33529/ANGI02020202 [In Russ].
11. Saaia S.B., Rabtsun A.A., Popova I.V., et al. Roboticassisted operations for pathology of the aortoiliac segment: own experience. Angiol Sosud Khir. 2020;26(4):90–96. PMID: 33332311. DOI: 10.33529/ANGIO2020409 [In Russ].
12. Stadler P. Role of the robot in totally laparoscopic aortic repair for occlusive and aneurysmal disease. Acta Chir Belg. 2009;109(3):300–305. PMID: 19943583. DOI: 10.1080/00015458.2009.11680429
13. McCarthy W.J/, Mesh C.L., McMillan W.D., Flinn W.R., Pearce W.H., Yao J.S. Descending thoracic aorta-to-femoral artery bypass: ten years’ experience with a durable procedure. J Vasc Surg. 1993;17(2):336–348. PMID: 8433429.
14. Jongkind V., Diks J., Yeung K.K., Cuesta M.A., Wisselink W.. Mid-term results of robot-assisted laparoscopic surgery for aortoiliac occlusive disease. Vascular. 2011;19(1):1–7. PMID: 21489920.DOI: 10.1258/vasc.2010.oa0249
Review
For citations:
Zakeryaev A.B., Vinogradov R.A., Bakhishev T.E., Butaev S.R., Sozaev A.A., Khangereev G.A., Bestaev E.V., Porhanov V.A. Total video-assisted thoracofemoral bifurcation bypass surgery using a robotic system. Minimally Invasive Cardiovascular Surgery. 2025;1(1):21-28. (In Russ.)
Views:
29
Email this article 