METHOD OF INTRAPLEURAL ARGON-PLASMA HAEMOSTATIC COAGULATION IN VIDEOTHORASCOPIC RETROSTERNAL LYMPHADENECTOMY

摘要

FIELD: medicine.;SUBSTANCE: invention relates to field of medicine, namely to surgery and oncology, and can be applied in surgical treatment of breast cancer. Method consists in intrapleural argon-plasma haemostatic coagulation in conditions of videothorascopic retrosternal lymphadenectomy. Parietal pleura is separated and fatty tissue with contained in it retrosternal lymphcollector is removed. For separation of retrosternal lymphcollector applied is argon-plasma coagulation by soft probe with canal section 0.1-0.3 cm. Applied parameters of coagulation are the following: argon steam 1.0-1.5 litre per minute and power 50-80 Wt.;EFFECT: application of claimed invention makes it possible to ensure reliable hemostasis, as due to application of soft probe port of access into thoracic cavity is not totally interrupted, therefore is accessible for any other instrument for carrying out hemostasis and sanitation of thoracic cavity, which, in its turn makes it possible to reduce time and facilitate carrying out operation, exclude installation of additional port, source of argon-plasma coagulation is constantly situated in lumen of thoracic cage during operation.;1 tbl, 5 dwg, 3 ex