FIELD: medicine; oncology.
SUBSTANCE: establish laparoscopic ports. Into one of ports enter laparoscopic ultrasonic gauge. Under the gauge control define the sizes and carry out a biopsy of a neoplasm of the gall bladder. Perform standard laparoscopic cholecystectomia. Under the control of the laparoscopic ultrasonics transcutaneously bring electrode of radio-frequency destructor to bed of the gall bladder. Make plane ablation of liver tissues with power of a current 160-200 W, duration of influence of 15-20 minutes. Move an electrode on all surface of a bed of a gall bladder and on liver parenchyma, having receded from 1-2 cm from the bed edge. Carry out paracentetic ablation of the tissues of liver with 160-200 W power of current. Thus make 3-5 vertical punctures in the centre and along the edges of a bed of the gall bladder, plunging on 3 cm deep into liver parenchyma. Duration of influence makes 5-10 minutes on every puncture.
EFFECT: depression of percent of relapses of disease, operational complications and term of stay in a hospital.
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Authors
Dates
2009-01-20—Published
2007-03-23—Filed