发明名称 MODIFIED UMBILICAL ACCESS IN LAPAROSCOPIC CHOLECYSTOECTOMY
摘要 FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to surgery. A cut of skin, surrounding the navel is performed with 1.5-2 cm indent from its central part, with its mobilisation in the form of a funnel. A 3 cm cut of the aponeurosis is performed on the white line of the abdomen above the navel with transition onto the umbilical ring. A flexible port with three working channels is installed into the cut. After revision of the subhepatic space, traction of the gall bladder is performed by means of a clamp. Elements of the gall bladder neck are clipped and transected. The gall bladder is ablated from the abdominal cavity. Sanitation of the subhepatic space and thermocoagulation of the bed are carried out. A tubular drainage is brought out through the navel. Desulfation is carried out. The aponeurosis is sutured layer-by-layer. The sutures are applied on the skin along the perimeter of the umbilical ring.EFFECT: method makes it possible to provide prevention of post-operational wound complications, reduce trauma and improve the cosmetic effect.1 ex, 4 dwg
申请公布号 RU2526243(C2) 申请公布日期 2014.08.20
申请号 RU20120144967 申请日期 2012.10.22
申请人 GOSUDARSTVENNOE BJUDZHETNOE OBRAZOVATEL'NOE UCHREZHDENIE VYSSHEGO PROFESSIONAL'NOGO OBRAZOVANIJA "KRASNOJARSKIJ GOSUDARSTVENNYJ MEDITSINSKIJ UNIVERSITET IMENI PROFESSORA V.F. VOJNO-JASENETSKOGO MINISTERSTVA ZDRAVOOKHRANENIJA I SOTSIAL'NOGO RAZVITIJAROSSIJSKOJ FEDERATSII" 发明人 ORLOV SERGEJ ALEKSEEVICH;PAKHOMOVA REGINA ALEKSANDROVNA;VOLKOV JURIJ MIKHAJLOVICH;VOLKOV DANIIL JUR'EVICH;KOCHETOVA LJUDMILA VIKTOROVNA
分类号 A61B17/00;A61B1/32 主分类号 A61B17/00
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