| 摘要 |
FIELD: medicine, surgical gastroenterology. ^ SUBSTANCE: it is necessary to provide retroperitoneal access at patient's dextral lateral position, retroperitoneal space should be lanced due to dissecting diaphragmo-colonic ligament followed by mobilizing a splenic colonic angle. Then one should lance omental bursa due to dissecting gastro-splenic ligament in vessels-free area and after removing sequestra and pathological liquid content one should puncture left-hand lumbar area to introduce a clamp there by directing it through omental bursa and lance gastro-colonic ligament by its working end, firstly, and, secondly, abdominal wall in epigastral area, through the opening developed one should capture drainage to withdraw it into the puncture in lumbar area, moreover, all manipulations should be carried out by applying videolaparoscopic technique that provides adequate lancing and drainage of all pathologically altered areas in case of pancreonecrosis under visual control and low risk for the secondary infectioning. ^ EFFECT: higher efficiency of therapy. ^ 1 ex |
