| 摘要 |
FIELD: medicine. ^ SUBSTANCE: invention relates to medicine, in particular to surgery. Subaxialllary access 2 cm long is made straight in axillary crease on both sides of midaxillary line. In subcutaneous cellular tissue tunnel is created in blunt way. Endoretractor, with 220 mm long blade, with introduced into it endoscope, in introduced. After that working cavity is formed by gas insufflation. Performed are separation of nipple and transaction of central mammary duct with preservation of circular unstriped muscle fibres in areolar complex structure. Mammary gland capsule is isolated from surrounding cellular tissue. Tumour edges are released and tumour is ablated by means of aspiration under endoscopic control. In case of visible hemorrhage hemostasis with application of bipolar electrocoagulation is performed. In region of operational access atraumatic skin sutures are applied. ^ EFFECT: application of invention simplifies method and reduces time of operative intervention, preserves circular unstriped muscle fibres in areolar complex structure, prevent post-operative complications. ^ 2 cl, 3 dwg, 1 ex |
