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METHOD OF LUNG PARENCHYMA SEPARATION IN THORACOSCOPIC LOBECTOMY

机译:胸膜肺切除术中肺部血肿分离方法

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, particularly to thoracic surgery and oncology. After anterior and posterior mediastinotomy with removal of the root cellulitis with lymph nodes through an intervenous gap, an artery wall of basal segments of the lower lobe is visualized, its fascial case is incised, identifying reed arteries and an artery of the apical segment of the lower lobe and through the formed "tunnel", the upper wall of which is the lung parenchyma, and the lower pulmonary artery, a stapling apparatus is carried out and the lobes are separated, thereafter, arterial segmental vessels and vein are undergone hardware suture, and the lobar bronchus is treated by mechanical suturing. In the operation on the right lung, the structure of the middle lobe is identified: arteries, vein and bronchus, which are a reference point for the apparatus for stitching and intersection of the lung parenchyma and further treatment of the broncho-vascular structures of the removed lobe.;EFFECT: invention enables to perform radical thoracoscopic lobectomy in the patients with a non-expressed or completely invaded interlobar sulcus, minimizing a pulmonary parenchyma injury, thereby significantly reducing air leak in postoperative period; in this regard, reduced risk of postoperative respiratory disorders, which promotes fast rehabilitation of patient, and in turn, reduced length of stay of patient in hospital.;1 cl, 1 ex, 6 dwg
机译:技术领域:本发明涉及医学,尤其涉及胸外科和肿瘤学。在进行前,后纵隔切开术并通过静脉间隙切除带有淋巴结的根性蜂窝织炎后,可视化下叶基底节段的动脉壁,切开其筋膜病例,识别出芦苇动脉和该节段的顶端节段的动脉穿过下部的小叶并穿过形成的“隧道”(其上壁为肺实质)和下部的肺动脉,进行缝合器械并分离小叶,然后对动脉节段性血管和静脉进行硬件缝合,大叶支气管经机械缝合处理。在右肺的手术中,确定了中叶的结构:动脉,静脉和支气管,这是缝合和交叉肺实质的设备以及进一步治疗肺的支气管血管结构的参考点效果:本发明能够对未表达或完全侵犯小叶间沟的患者进行彻底的胸腔镜肺叶切除术,最大程度地减少了肺实质损伤,从而显着减少了术后的漏气。在这方面,减少了术后呼吸系统疾病的风险,从而促进了患者的快速康复,进而缩短了患者在医院的住院时间。1cl,1 ex,6 dwg

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