METHOD FOR SURGICAL APPROACH IN LAPAROSCOPIC APPENDECTOMY Russian patent published in 2014 - IPC A61B17/00 A61B17/34 

FIELD: medicine.

SUBSTANCE: patient's constitution is typed to localise trocar ports. A dolichomorphic constitution requires localising a trocar port 5 cm above the navel; the second port is found on a line between the superior anterior iliac spine 2 cm in the medial direction from the left superior anterior iliac spine; the third trocar port is located on the right anterior axillary line 2 cm above the navel. If the patient has a mesomorphic constitution, the first trocar port is situated 2 cm above the navel along the mid-line; the second trocar port is found on a concurrence of a line passing along an external edge of the left abdominal rectus muscle and a line between the superior anterior iliac spines; the third trocar is inserted on the right anterior axillary line at the level of the navel. For the patients having a brachymorphic constitution, the first trocar point is localised 2 cm below the navel along the mid-line; the second trocar is inserted on a concurrence of the mid-line and the line between the superior anterior iliac spines; the third trocar port is found on the right anterior axillary line 2 cm below the navel.

EFFECT: method provides finding the ports for laparoscopic appendectomy taking into account the patient's constitution.

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