METHOD OF VIDEOASSISTED SEWING OF PERFORATIVE PYLORODUODENAL ULCERS

摘要

FIELD: medicine. ^ SUBSTANCE: invention relates to surgery and can be applied for videoassisted sewing of perforative pyloroduodenal ulcers. Cut is made umbically. Laparoscope and instrumental port for aspirator are installed. Cut for manipulator is made in right hypocondrium at 2 cm distance from right costal margin and 4 cm rightward medial line, which is later extended with transformation into transrectal 3-5 cm miniaccess. "Mini-assistant" is installed. Perforation is sutured. Sanitation of subhepatic and subdiaphragmal space on the right is carried out. ^ EFFECT: method makes it possible to improve conditions of visualisation and manipulation, reduce trauma of intervention. ^ 1 ex, 2 dwg