FIELD: medicine.
SUBSTANCE: method involves making skin cut along the median line under the xiphoid process to preperitoneal cellular tissue. The peritoneum is upward detached with finger on possible extent and in lateral direction for introducing trocar for laparoscope. Other skin cuts are done on both sides of the first cut for introducing trocars. Peritoneum is detached from diaphragm under video endoscopic control in sagittal direction to esophageal diaphragm orifice that is to be cut. Purulent process boundary is reached in paraesophageal cellular tissue and pyogenic abscess is drained with multiple-lumen drain.
EFFECT: excluded abdominal cavity infection; reduced risk of traumatic complications.
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