Method for mini-invasive treatment of massive hepatic metastases

摘要

The invention relates to medicine, particularly to hepatology and oncology, and can be used for mini-invasive treatment of massive hepatic metastases in patients with liver cirrhosis.According to the invention, the claimed method consists in that through the laparoscopic access in the infraumbilical region under video optics control is introduced an additional trocar in the subhepatic region, is removed the ascitic fluid from the abdominal cavity, is identified the hepatic tumor focus and is performed the biopsy sampling from the tumor, then using a bipolar electrode, which is introduced through the trocar port, is performed the bipolar diathermocoagulation with the frequency of 300 kHz and the power of 100…250 W of the tumor central surface with the slow movement of the electrode in its depths with the continued thermodestruction of tumor tissue without damaging the adjacent hepatic tissue, for 3…7 minutes in pulsating regimen, at the same time on the periphery of the intact hepatic tissue is infiltrated 15…30 ml of a mixture comprising per 1 ml:then in the same points is infiltrated fibrinogen sol. 15…30 mg, afterwards in the subhepatic space is introduced a checking drain for 2…5 days and is performed the peritoneal lavage with a mixture containing broad spectrum antibiotics and proteolytic enzymes.