[Remote results of surgical treatment of the patients with multilevel atherosclerotic damage of the main arteries of the lower extremity].

The results of treatment of 131 patients, suffering multilevel atherosclerotic affection of abdominal aorta and the main arteries of the lower extremity, are adduced. Algorhythm of arterial reconstruction performance depending on the spread of the aorto-iliac and femoro-politeal segments affection, was elaborated. There were applied two methods of treatment: reconstruction of aorto-iliac segment only and simultaneous reconstruction of arteries on two levels. The differentiated approach to performance of arterial reconstruction application have permitted to achieve positive result in 80% of patients in terms of 5-year follow-up. The lower extremity was secured in 83% of them, mortality had constituted 20%.

[Application of minimally invasive lumbar sympathectomy in the treatment of patients with obliterating diseases of the lower extremity vessels].

The method of performance and immediate results of miniinvasive lumbar sympathectomy using retroperitoneal miniaccess were adduced in the work. In 2005 yr on the base of division of vascular surgery were operated 19 patients. Application of endoscopic instruments and optic system of illumination gave the possibility to remove lumbar sympathetic nodes in conditions of narrow (3-5 cm) surgical access and operative field. Introduction of miniinvasive method have promoted to reduce essentially the postoperative complications rate, the pain syndrome intensity, the reduction of duration of the patients postoperative rehabilitation, the cosmetic effect raising.