Minimally invasive method for correcting the central lymphocirculation in the treatment of cirrhogenous ascites

摘要

The invention relates to medicine, in particular to surgical hepatology, and can be used for correcting the central lymphocirculation in the treatment of ascitic syndrome in patients with decompensated liver cirrhosis.Summary of the invention consists in that is exteriorized and mobilized the internal jugular vein, is separated the thoracic lymphatic duct in the region of the left venous angle, is mobilized the duct along the entire thoracic portion with the sectioning of all the afferent lymphatic branches from the place of exit from the posterior mediastinum to the left venous angle, are removed the prescalenic lymphatic ganglia with the formation of an intermuscular cavity, into which is introduced a 5…10% solution of lidocaine, in an amount of 10…15 ml, after 5…10 min is aspirated the solution and is introduced a solution of polyglucin, in an amount of 15..30 ml, then is sutured the superficial cervical fascia and the skin.