FIELD: medicine.
SUBSTANCE: invention concerns medicine area, and is more concrete to oncology area. The patient is anesthetised and spent a double-barrelled intubation of the lung. Then thoracoports in the pleural cavity, are established the patient over is changed on breath with one lung, collabate an investigated lung. A sterile normal saline solution (NaCL) is poured in ports in amount of 800-1200 ml, to a full covering of the surface of an investigated lung with liquid having width of 3-5 mm. Neoplasms of the lung are tapped by carrying out intraoperative ultrasonic, using an endoscopic convex ultrasonic gauge of 5-10 Hz №8666 which is spent through the port to the lung parenchyma. The sizes of a neoplasm are defined and at presence one and bilaterial metastatic lesion of lungs, at the remote primary centre, with one formation in the lung to 5 cm in diameter or 3 formations in the lung to 3 cm in diameter, radio-frequency ablation is spent under ultrasonic by the control with the help of a radio-frequency destructor cluster which is established transcutaneously to the lung metastasis so that the needle settled down at edge or left on 0.5 cm for neoplasm edge.
EFFECT: method provides an exception of a radial load on the patient and the medical worker, decrease of labour input and treatment cost, percent decrease of intra and postoperative complications, expansion of indications in treatment of patients with a serious accompanying pathology.
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Authors
Dates
2009-03-27—Published
2007-03-23—Filed