METHOD OF LAPAROSCOPIC SPLEEN RESECTION
	PUCHKOV K V; LOSEV D V; GALYNSKII I A
	2021-05-21
专利权人	PUCHKOV K V (PUCH-Individual)
申请日期	2021-05-21
专利号	RU2768591-C1
成果简介	NOVELTY - Method of laparoscopic spleen resection refers to medicine, namely to abdominal surgery. Patient is placed on the operating table on his/her back in the Fowler position. Under aseptic conditions under combined intubation anaesthesia in a supraumbilical region, a skin incision of 1 cm is performed, laparolifting is performed by means of clamps, and laparocentesis is performed with a Veress needle. 10 mm camera trocar is introduced with a viewing angle of 30 degrees; the instrument trocars are introduced under the control of an optics in the proposed topographic-anatomical area of the operation. Thunderbeat apparatus is used to open an omental bursa, and a gastro-splenic or colonic-splenic ligament is transected depending on the localization of the pathological focus and the required resection border. Spleen is mobilized; a splenic artery is separated at distance of 4 cm in the proximal direction from the splenic hilum to the point of branching into segmental arteries from the surrounding tissues; a soft vascular DeBakey clamp is applied on the artery with a laparoscopic clamp. Using the Thunderbeat apparatus, a pathological neoplasm is resected along the border of a healthy tissue, haemostasis of the resection line is performed by bipolar coagulation, haemostatic plates Tachocomb and haemostatic system PerClot are applied to the resection site, resected area is placed in a plastic container, removed from the abdominal cavity through a minilaparotomic incision in the left iliac region. USE - Medicine. ADVANTAGE - Method enables performing a surgical intervention on a "dry" surgical site, which provides adequate haemostasis and visibility of clear boundaries of the resection of the organ; perform an economical resection of the organ, thereby maximally preserving the immunological and hematopoietic functions of the spleen; allows performing surgical intervention on various topographic and anatomical areas of spleen due to convenient viewing angle; also minimally invasive approach allows reducing pain syndrome and accelerating postoperative rehabilitation, which reduces time of patients stay in hospital. 1 cl, 1 ex
IPC 分类号	A61B-017/00
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/22850
专题	中国科学院新疆生态与地理研究所
作者单位	PUCHKOV K V (PUCH-Individual)
推荐引用方式 GB/T 7714	PUCHKOV K V,LOSEV D V,GALYNSKII I A. METHOD OF LAPAROSCOPIC SPLEEN RESECTION. RU2768591-C1[P]. 2021.

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