DIAPHRAGM ESOPHAGEAL OPENING HERNIA IN COMBINATION WITH CHRONIC CALCULOUS CHOLECYSTITIS TREATMENT METHOD

摘要

FIELD: medicine.;SUBSTANCE: invention relates to the medicine, namely to surgery, and can be used in the diaphragm esophageal opening hernia in combination with chronic calculous cholecystitis simultaneous surgery. For this, at the first stage, performing the laparoscopic access, the esophagus mobilization, while maintaining the left anterior and the posterior right vagus nerves. Cuff from the bottom of the stomach forming symmetrically 360° around the abdominal esophagus, having previously fixed the stomach bottom to the esophagus right lateral part with the continuous suture for 3–4 cm. Then fixing the stomach bottom front wall to the previously fixed the stomach posterior wall with 3 sutures. At the second stage, after the fundoplication performance, performing the standard laparoscopic cholecystectomy. Closing the wound.;EFFECT: method enables effective surgical treatment of this category of patients by the vagus nerve anterior branch seizure prevention during the fundoplication performance, the “telescope syndrome” development prevention and reducing the incidence of complications such as postcholecystectomy syndrome, dysphagia and pylorospasm.;1 cl, 2 ex