| 摘要 |
FIELD: medicine. ^ SUBSTANCE: invention refers to medicine, namely to abdominal surgery. Gall bladder is dissected along the inferolateral wall starting 2.0-2.5 cm above pelvis of gall bladder throughout 2.5-3.0 cm. Gall bladder is cleared from its contents through the section. Then inferolateral wall of pelvis of gall bladder is dissected towards common bile duct and common hepatic duct so that the section line goes along common bile duct and common hepatic duct. Pocket Hartman is cleared from its contents. Its wall is covered and tightened. At first commissures are separated between pelvis of gall bladder and common bile duct. Then commissures are separated pelvis of gall bladder and common hepatic duct. Gall bladder is resected at level of cystic duct. If pathologic common bile duct and common hepatic duct are observed, intraoperative cholangiography is followed with tying the cystic duct up. The bed of gall bladder is peritonised. ^ EFFECT: method allows eliminating haemorrhage, bile outflow, intraoperative damages of common bile duct and common hepatic duct. ^ 1 dwg, 1 ex |
