FOR THE MEDICAL PRACTITIONER
Plastic Surgery
doi: 10.25005/2074-0581-2026-28-2-530-543
MICROVASCULAR ANASTOMOSIS ON A STENT FOR ORGAN DEFECT RECONSTRUCTION IN CANCER PATIENTS

SH.KH. DUSTOV1, G.N. SAIDOV1, I.V. RESHETOV2, Z.Z. BAROTOV3

1Bukhara Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Bukhara, Republic of Uzbekistan
2Department of Oncology, Radiotherapy and Reconstructive Surgery, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
3Republican Oncological Scientific Center, Dushanbe, Republic of Tajikistan

Objective: To compare clinical outcomes between stent-assisted microvascular anastomosis and conventional manual suturing.

Methods: This study evaluated 40 patients undergoing radical tumor resection and subsequent free flap reconstruction. The observation group (OG, n=20) underwent flap-to-recipient microvascular anastomosis using a stent-assisted technique. The control group (CG, n=20) received classical manual suturing. Flap transfers involved 20 arterial and 34 venous anastomoses in the OG, and 20 arterial and 32 venous anastomoses in the CG.

Results: Flap survival rates showed no statistically significant difference between the two cohorts, reaching 85% in both groups. However, the OG demonstrated a highly significant, two-fold reduction in anastomotic time compared to the CG (p<0.001).

Conclusion: Stent-assisted microvascular anastomosis is a highly viable surgical alternative. The technique significantly minimizes operative and ischemic times, reduces vascular trauma, and ensures precise, layer-by-layer anatomical alignment of the proximal and distal vessel walls.

Keywords: Reconstruction, microsurgery, free flaps, microvascular anastomosis, stent.

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References
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Authors' information:

Dustov Sherali Khayatovich,
Deputy Director for Medical Affairs, Bukhara branch of the Republican Specialized Scientific and Practical Center of Oncology and Radiology
ORCID ID: 0000-0002-5526-4260
E-mail: sherali_doc@mail.ru

Saidov Gafur Normurodovich,
Candidate of Medical Sciences, Director of the Bukhara branch of the Republican Specialized Scientific and Practical Center of Oncology and Radiology
ORCID ID: -0000-0003-4412-9693
E-mail: gafursaid.76@mail.ru

Reshetov Igor Vladimirovich,
Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Full Professor, Head of the Department of Oncology, Radiotherapy and Reconstructive Surgery, Sechenov First Moscow State Medical University
Researcher ID: 621518914
Scopus ID: 6701353127
ORCID ID: 0000-0002-0909-6278
SPIN: 3845-6604
Author ID: 249914
E-mail: reshetoviv@mail.ru

Barotov Zarobuddin Zaynuddinovich,
Candidate of Medical Sciences, Deputy Director, Republican Oncological Scientific Center
ORCID ID: 0000-0003-3289-2497
E-mail: barotov66@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Dustov Sherali Khayatovich
Deputy Director for Medical Affairs, Bukhara branch of the Republican Special- ized Scientific and Practical Center of Oncology and Radiology

200100, Republic of Uzbekistan, Bukhara, Gijduvan str., 72

Tel.: +998 (906) 1309999

E-mail: sherali_doc@mail.ru


This work is licensed under a Creative Commons Attribution 4.0 International License.

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