METHOD FOR ONE-STAGE CLOSURE OF WOUND AND ABDOMINAL SYSTEM OF KIDNEY IN LAPAROSCOPIC NEPHRECTOMY

摘要

FIELD: medicine.SUBSTANCE: laparoscopic partial nephrectomy covering a tumour and opening of the abdominal cavity are performed. A continuous suture at a pitch of 7-9 mm inside from the outside through a fibrous capsule of the kidney through the whole thickness of the parenchyma with the needle pricked out into the wound bed. The suture delivered covers ipsilateral and counterlateral walls of the opened abdominal systems. A resorbable clip is preliminarily fixed on a distal end of the absorbable suture under the knot. The first prick-in is found at 5 mm from the wound angle and 5-7 mm from the wound edge. The suture is pulled through to touch the applied clip with the fibrous capsule of the kidney. The suture traction follows. A resorbable clip is applied on the suture at a right angle from the counterlateral wound edge. At the moment of latch-up, the clip is moved along the suture to the wound edge to put the wound edges of the kidney together.EFFECT: method enables avoiding the necessity of the knot formation, reducing the time of the thermal ischemia of the kidney, reducing the rate of bleedings and urinary fistulas.1 ex, 11 dwg