METHOD surgical approach for laparoscopic splenectomy

摘要

method of operating access for laparoscopic u0441u043fu043bu0435u043du044du043au0442u043eu043cu0438u0438 including ultrasound study of spleen and its topology and the entrance to the body cavity, cd u0430u0439u043du0435u0439 least four u0442u0440u043eu0430u043au0430u0440u043du044bu043c points through which u0432u0432u043eu0434u00a0u0442 optical and working tools, u0432u0442u043eu0440u0430u00a0 of which u043du0430u0445u043eu0434u0438u0442u0441u00a0 at medium angles of 3 - 4 cm below the sword the u0435u0432u0438u0434u043du043eu0433u043e,and u0442u0440u0435u0442u044cu00a0 - on the left u0437u0430u0434u043du0435u043fu043eu0434u043cu044bu0448u0435u0447u043du043eu0439 line between the edge of the rib arch and the wing of the ilium, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0, depending on the size and u0440u0430u0441u043fu043eu043bu043eu0436u0435u043du0438u00a0 sat u0435u0437u0435u043du043au0438 first and fourth u0442u0440u043eu0430u043au0430u0440u043du044bu0435 point cause to u043fu043eu043bu0443u0447u0435u043du0438u00a0 angles between the operating u0434u0435u0439u0441u0442u0432u0438u00a0 u043eu0441u00a0u043cu0438 tools 45 - 90, with the coal "session of for receptacles spleen, close to 90.the first u0442u0440u043eu0430u043au0430u0440u043du0443u044e point with u0442u0440u043eu0430u043au0430u0440u043eu043c cause down along the middle u043au043bu044eu0447u0438u0447u043du043eu0439 line or along the median line and to the right for the body or for her, and the fourth u0442u0440u043eu0430u043au0430u0440u043du0443u044e a point with a working tool cause down to the left u043fu0435u0440u0435u0434u043du0435u043fu043eu0434u043cu044bu0448u0435u0447u043du043eu0439 line or down and toward the middle line of the body.