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METHOD OF RECONSTRUCTION OF HEPATIC ARTERIAL BLOOD FLOW IN DAMAGE OR RESECTION OF HEPATIC ARTERY AND BRANCHES THEREOF

机译:损伤或切除肝动脉及其分支的肝动脉血流重建方法

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to surgery, oncology. Haemorrhage is stopped by superimposing vascular clamps on the hepatic artery. Distal end of the common hepatic artery is mobilized. If the common hepatic artery is invaded, the possibility of an end-to-end reconstruction of the anastomosis is evaluated. If it is impossible to apply a direct anastomosis between the proximal and distal ends of the hepatic artery: considerable tension in the reconstruction area, the left gastric artery is mobilized from the mouth to the required length. After intravenous introduction of unfractionated heparin 5000 U, vascular clamps are applied on a left gastric artery. Distal end of left gastric artery is ligatured. Left gastric artery trunk is moved. Proximal end of the left gastric artery is anastomosed end-to-end with the distal end of the hepatic artery. Blood flow is restored.;EFFECT: method enables reducing the rate of hepatic necrosis, reducing the length of the vascular stage of operation and reducing the rate of postoperative complications associated with the vascular stage - reducing the time of liver ischemia, reducing the risk of developing thrombosis of the reconstruction area.;1 cl, 1 ex, 2 dwg
机译:领域:医学。;实体:发明是指医学,即外科,肿瘤学。通过在肝动脉上叠加血管钳来止血。肝总动脉远端动员。如果侵犯了肝总动脉,则将评估端到端重建吻合的可能性。如果不可能在肝动脉的近端和远端之间进行直接吻合:在重建区域中施加相当大的张力,则将左胃动脉从嘴部移动到所需的长度。静脉内注射未分级的肝素5000 U后,将血管钳夹在左胃动脉上。左胃动脉远端结扎。左胃动脉干移动。左胃动脉的近端与肝动脉的远端首尾相连。血流恢复。效果:该方法可以降低肝坏死的发生率,缩短血管的手术阶段的长度,并降低与血管阶段有关的术后并发症的发生率-减少肝脏缺血的时间,降低发生肝癌的风险重建区血栓形成; 1 cl,1 ex,2 dwg

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