FIELD: medicine.
SUBSTANCE: during vediolaparoscopic gastrectomy without concurrent splenectomy, with extended lymphadenectomy during cancer of the proximal section and middle third of the stomach, during vediolaparoscopic partial distal gastrectomy with extended lymphadenectomy the lesser omentum is mobilised. Left and right gastric arteries and veins are tied up. The gastric-pancreatic ligament is transected. The laparoscope and working instruments are let in through the opening formed on the lesser omentum. The laparoscope is moved along the top edge of the pancreas and splenic vessels to hilus of the spleen.
EFFECT: reduced injury of operation, risk of instrumental damage to the spleen, tail of the pancreas, upper pole of the spleen, wider range and sharpness of imaging during surgical manipulations in the region of splenic vessels.
1 dwg, 2 ex
| Title | Year | Author | Number |
|---|---|---|---|
| METHOD FOR LYMPH NODE DISSECTION IN COMBINED GASTRECTOMY IN ONCOLOGY PATIENTS | 2014 |
|
RU2573058C2 |
| METHOD FOR CONDUCTING LAPAROSCOPIC AND LAPAROSCOPICALLY ASSISTED OPERATIONS UPON STOMACH | 2005 |
|
RU2290893C1 |
| METHOD FOR RETAINING PANCREATOLIENAL COMPLEX IN PERFORMING RADICAL SURGICAL INTERVENTION ON THE OCCASION OF STOMACH CARCINOMA | 2000 |
|
RU2185104C2 |
| METHOD FOR LAPAROSCOPIC DISTAL SPLENORENAL ANASTOMOSIS WITH SPLENIC ARTERY TYING AND STOMACH DEVASCULARIZATION IN CASE OF PORTAL HYPERTENSION | 2015 |
|
RU2624812C2 |
| METHOD FOR PREVENTING LEFT HEPATIC LOBE NECROSIS IN ONCOLOGIC PATIENTS WITH SUPPLEMENTARY HEPATIC ARTERY | 2014 |
|
RU2548519C1 |
| METHOD OF SPLEEN RESECTION | 1996 |
|
RU2145802C1 |
| METHOD FOR SPLENIC AUTO-GRAFTING ACCOMPANYING COMBINED GASTRECTOMY IN ONCOLOGICAL PATIENTS | 2012 |
|
RU2511101C1 |
| METHOD OF MANUAL-ASSISTED LAPAROSCOPIC SPLENECTOMY WITH CLOSED ABDOMINAL INJURY | 2018 |
|
RU2690907C1 |
| METHOD FOR TREATMENT OF THORACIC ESOPHAGUS DISEASES | 2015 |
|
RU2612098C1 |
| METHOD FOR PREVENTING THE NECROSIS OF LEFT HEPATIC LOBE AT GASTRECTOMY IN CASE OF ESOPHAGEAL OR GASTRIC CANCER AT THE PRESENCE OF ACCESSORY HEPATIC ARTERY | 2001 |
|
RU2188594C1 |
