FIELD: medicine.
SUBSTANCE: method relates to medicine, namely to oncosurgery. Peritoneum is dissected from mediate laparotomy access from left side canal and from the level of left external iliac artery with transection of colonic-diaphragmal and splenic-diaphragmal ligaments. Separated complex is mobilised retroperitoneally to aorta together with body and tail of pancreas. Splenic-renal ligament and Gerot fascia are dissected. Aorta is exposed from bifurcation to upper mesenteric artery. Aortal-caval lymphdissection with removal of cellular tissue along left hepatic artery and vein is performed. Removal of left adrenal gland with tumor is performed in block with perirenal and retroperitoneal cellular tissue.
EFFECT: increase of method efficiency.
2 ex
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Authors
Dates
2013-12-27—Published
2012-08-08—Filed