HOW TO laparoscopic lumbar department SYMPATHETIC TRUNK

摘要

Method laparoscopic approach to the lumbar sympathetic trunk, characterized in that the parietal peritoneum is dissected from the right lateral channel parallel to the ascending colon, departing from it by 1.5 cm from the level of the iliac fossa to the angle of hepatic colon, at step Right; at step left parietal peritoneum is dissected from the left lateral channel parallel descending colon, departing from it by 1.5 cm from the level of the iliac fossa to the splenic angle of the colon, the colon with the loops of the small intestine retracted medially in the retroperitoneal tissue by blunt in space, limited top psoas muscle, behind the spine, below the aorta, with the manipulation of the left, and the inferior vena cava, the right for manipulation, mobilization performed lumbar ganglia, and their resection.