METHOD FOR LAPAROSCOPIC TRANSGASTRAL RESECTION OF CARDIOESOPHAGEAL TRANSITION IN MESENCHIMAL GASTRIC TUMORS Russian patent published in 2021 - IPC A61B17/94 A61B17/00 A61B17/34 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to abdominal surgery. A 12 mm skin incision is made in the paraumbical region from below. Laparoscopic ports are established. Having departed from Treitz's ligament 10 cm in the distal direction, a Satinsky clamp is applied to the small intestine. Further along the lateral contour of the left rectus abdominis muscle above the navel, two ports are installed at a distance of 7 cm from each other. On the border of the middle and upper third of the stomach at the greater curvature, holes 1 cm in diameter are made along the anterior wall. The holes are sheathed with a continuous suture and 3 ports are installed into the stomach lumen through the technological holes, after which the thread is tightened and brought out to the anterior abdominal wall. The stomach cavity is revised and the submucosal neoplasm is visualized. Step by step, the tumor is mobilized around the perimeter, avoiding damage to the tumor, the drug is removed in a single block. The tumor is placed in a container, and then removed from the abdominal cavity through a minilaparotomy. The Satinsky clamp is removed from the small intestine. For two days, a nasogastric tube is installed for decompression. The ports are retrieved. Technological openings on the anterior wall of the stomach and laparoportal openings on the anterior abdominal wall are sutured.

EFFECT: method allows performing all stages of the operation under visual control, which reduces the risk of intra- and postoperative complications, prevents the development of gastroesophageal reflux disease, makes it possible to achieve good immediate, functional and long-term results of surgical treatment of patients with gastric mesenchymal tumors.

1 cl, 7 dwg, 1 ex