FIELD: medicine.
SUBSTANCE: invention relates to urology and oncology and can be used in the surgical treatment of malignant and benign kidney tumors. The invention relates to medicine, namely to pediatric urology. Access to the left renal artery, vein and gonadal vein is provided. A vascular clamp is then applied to the renal vein. Simultaneously, a double-lumen balloon catheter is inserted into the lumen of the diagnostic catheter previously installed in the renal artery, which is used to occlude the renal artery. The left gonadal vein is crossed and isolated perfusion of the kidney is carried out until the blood contained in it is completely washed out, while isotonic sodium chloride solution 0.9% is used as a cooled solution, after which the kidney is resected.
EFFECT: method provides the possibility of long-term intracorporeal shutdown, which reduces the risk of complications associated with prolonged warm ischemia, as well as volemic, metabolic and hypothermic complications that develop during cold ischemia by other methods, and also reduces the risk of damage to the left renal artery, which is not cannulated.
1 ex, 8 dwg
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Authors
Dates
2023-04-04—Published
2022-06-10—Filed