Performing laparoscopic retropubic adenomectomy by performing endovideoscopic access, installing optical and working trocars in retropubic space, creating carboxyperitoneum, performing laparoscopy, performing adenomectomy, dissecting prostate gland, controlling hemostasis, and suturing
	VOLKOV S N; KOLONTAREV K B; PUSHKAR D YU; TERESHCHENKO V I; STEPANCHENKO V S; MIKHEEV R K; GRIGORYAN O R; SHEREMENTEVA E V; ANDREEVA E N; MELNICHENKO G A; DEDOV I I; MOKRYSHEVA N G; ODARCHENKO A S; ABSATAROVA YU S; SHEREMETEVA E V
	2022-04-18
专利权人	VOLKOV S N (VOLK-Individual) ; FEDERAL STATE BUDGETARY INST (FSBI-C)
申请日期	2022-04-18
专利号	RU2022110393-A; RU2784186-C2; RU2784186-C9
成果简介	NOVELTY - Method for performing laparoscopic retropubic adenomectomy involves performing endovideoscopic access, installing optical and working trocars in retropubic space, creating carboxyperitoneum under general anesthesia, performing laparoscopy, examining abdominal cavity, performing adenomectomy, isolating surface of the prostate gland, dissecting capsule of the prostate gland in a transverse direction, carrying out control of hemostasis, allocating a layer between the capsule and adenomatous tissue of the right and left lobes of the prostate gland, cutting off adenomatous nodes from the urethra, placing in a container, removing middle lobe of the prostate if present, controlling hemostasis, coagulating blood vessels, comparing tissues of the bladder neck with the urethra, suturing prostate capsule with a continuous suture with a V-lock thread, and removing container with macro-preparations through supraumbilical access. USE - The method is useful for performing laparoscopic retropubic adenomectomy. DETAILED DESCRIPTION - Method for performing laparoscopic retropubic adenomectomy involves performing endovideoscopic access, installing optical and working trocars in retropubic space, creating carboxyperitoneum under general anesthesia, performing laparoscopy, examining abdominal cavity, performing adenomectomy, isolating surface of the prostate gland, dissecting capsule of the prostate gland in a transverse direction, carrying out control of hemostasis, allocating a layer between the capsule and adenomatous tissue of the right and left lobes of the prostate gland, cutting off adenomatous nodes from the urethra, placing in a container, removing middle lobe of the prostate if present, controlling hemostasis, coagulating blood vessels, comparing tissues of the bladder neck with the urethra, suturing prostate capsule with a continuous suture with a V-lock thread, removing the container, supplementing indicated adenomectomy with stages of temporary clamping of internal iliac arteries-VPA and urethrocystoanastomosis, performing laparoscopic access, installing 4 working trocars pararectally in the right and left iliac regions, dissecting peritoneum in projection of bifurcation of external iliac artery and ICA on the right, in the area of intersection of the common iliac artery and ureter, with use of energy instruments, mobilizing the VPA, taking VPA with a silicone holder, performing hemostasis in the work area, dissecting peritoneum in the projection of bifurcation of external iliac artery and VCA on left, in the region of the intersection of the common iliac artery and the ureter, with use of energy tools, mobilizing the VPA, taking the VPA on a silicone holder, performing hemostasis in the work area, mobilizing the anterior and lateral surfaces of the prostate gland up to the intrapelvic fascia, applying vascular clips of 'Bulldog' type to the VPA on the right and left in the area of bifurcations, isolating the nodes as a single block after dissection of the prostate capsule and identification of the layer between the adenomotous nodes of the right and left lobes of the capsule and its inner surface, displacing the bladder neck with a predominance of blunt dissection, cutting off adenomatous nodes from the urethra and placing in a container with VPA, removing vascular clamps, monitoring hemostasis of bed of adenomatous nodes in presence of bleeding vessels, performing coagulation, performing urethrocystoanastomosis after adequate identification of the bladder neck, performing anastomosis with two V-lock 3/0 threads, between the urethra and the bladder neck with a continuous suture, starting from the back wall, from 6 o'clock of the conditional dial, in opposite directions, to intersection on the anterior surface of the anastomosis, at 12 o'clock of the conditional dial, installing a Foley urethral catheter No. 20 is installed, injecting 150 ml saline into the bladder to check tightness of the anastomosis of the bladder neck, suturing the prostate gland capsule with a continuous suture with a V-lock 3/0 thread, performing wound revision and hemostasis, and removing container with macro-preparations through supraumbilical access.
IPC 分类号	A61B-017/00 ; A61B-017/94 ; A61M-025/04
国家	俄罗斯
专业领域	医药卫生
语种	英语
成果类型	专利
文献类型	科技成果
条目标识符	http://119.78.100.226:8889/handle/3KE4DYBR/22596
专题	中国科学院新疆生态与地理研究所
作者单位	1.VOLKOV S N (VOLK-Individual) 2.FEDERAL STATE BUDGETARY INST (FSBI-C)
推荐引用方式 GB/T 7714	VOLKOV S N,KOLONTAREV K B,PUSHKAR D YU,et al. Performing laparoscopic retropubic adenomectomy by performing endovideoscopic access, installing optical and working trocars in retropubic space, creating carboxyperitoneum, performing laparoscopy, performing adenomectomy, dissecting prostate gland, controlling hemostasis, and suturing. RU2022110393-A; RU2784186-C2; RU2784186-C9[P]. 2022.

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