FIELD: medicine.
SUBSTANCE: cholecystectomy is performed. The gallbladder bottom is fixed through a through puncture. A videolaparoscope and an endoscopic clamp are introduced through a single laparoscopic approach device. A tip-pointed needle of the diameter of 2.5 mm is introduced into an abdominal cavity with a metal filament inside. The gall bladder wall is gripped and retracted. The gall bladder wall is clamped within its bottom, and the wall is pulled into a loop. The loop is tightened. The gall bladder duct and artery are visualized, separately clipped and transected. After the gall bladder is separated from the bed, the metal filament is removed. The loop needle is removed from the abdominal cavity. The gall bladder is removed through the single laparoscopic approach device. An umbilical approach is closed in layers.
EFFECT: method enables facilitating gripping and retaining the gall bladder bottom, reducing a number of instruments inserted through the single laparoscopic approach, and providing the freedom of movement.
1 ex, 2 dwg
Title | Year | Author | Number |
---|---|---|---|
METHOD FOR GALL BLADDER CATHETERISATION AND EXPOSURE IN INTRAOPERATIVE CHOLANGIOGRAPHY AND CHOLECYSTECTOMY THROUGH SINGLE LAPAROSCOPIC APPROACH | 2013 |
|
RU2525282C1 |
METHOD FOR CHOLECYSTECTOMY THROUGH SINGLE LAPAROSCOPIC APPROACH IN ACUTE CHOLECYSTITIS | 2014 |
|
RU2546955C1 |
METHOD FOR PERFORMING SINGLE-PORT CHOLECYSTECTOMY THROUGH SINGLE LAPAROSCOPIC ACCESS USING STANDARD LAPAROSCOPIC INSTRUMENTATION | 2022 |
|
RU2793514C1 |
METHOD FOR ANTEGRADE PAPILLOSPHINCTEROTOMY WITH CHOLECYSTECTOMY THROUGH SINGLE LAPAROSCOPIC APPROACH | 2016 |
|
RU2647229C1 |
METHOD FOR LAPAROSCOPIC CHOLECYSTECTOMY CONVERSION IN ACUTE CHOLECYSTITIS | 2017 |
|
RU2661072C1 |
METHOD FOR RETROGRADE SELECTIVE CANNULATION OF CHOLEDOCHUS ACCOMPANYING ENDOSCOPIC PAPILLOSPHINCTEROTOMY | 2019 |
|
RU2729709C1 |
METHOD FOR GALL BLADDER FIXATION IN LAPAROSCOPIC CHOLECYSTECTOMY | 2010 |
|
RU2440040C1 |
METHOD FOR ANTEGRADE PAPILLOTOMY THROUGH SINGLE LAPAROSCOPIC APPROACH | 2019 |
|
RU2723747C1 |
METHOD OF LAPAROSCOPIC CHOLECYSTECTOMY | 2009 |
|
RU2398547C1 |
METHOD FOR REMOVING SCLEROSIS-INJURED GALLBLADDER | 1995 |
|
RU2125407C1 |
Authors
Dates
2014-10-10—Published
2013-02-26—Filed