FIELD: medicine; oncology.
SUBSTANCE: laparoscopic ports are introduced. Laparoscopic ultrasound sensor is put into one of the ports. Under the control of the sensor sizes of the cholic bubble neoplasm are defined. Neoplasm biopsy is carried out. Standard laparoscopic cholecystectomia is carried out. Under the laparoscopic ultrasound control radio-frequency destructor electrode is brought to cholic bubble bed through the skin. Plane liver tissue ablation is carried out at current power of 160-200 watt, duration of influence of 15-20 minutes. The electrode is moved along all the cholic bubble bed surface and along liver parenchyma, 1-2 cm off the bed edge. Puncture ablation of liver tissues at current power of 160-200 watt. 3-5 vertical injections in the center and on edges of cholic bubble bed are carried out, plunging by 3 cm deep into liver parenchyma.
EFFECT: decrease of operation traumatism, reduction of relapse percentage in the field of operation, operational complications and term of stay in hospital.
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Authors
Dates
2008-12-27—Published
2007-03-23—Filed