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Modified umbilical access during laparoscopic cholecystectomy

机译:腹腔镜胆囊切除术中的脐带入路改变

摘要

Modified umbilical access during laparoscopic cholecystectomy comprising umbilical access layering aponeurosis suturing with suture material with a long resorption period and applying cutaneous sutures, characterized in that the skin incision is performed fringing navel, 1.5-2 cm some distance from its central portion, with its mobilization in the form of a funnel section operate aponeurosis 3 cm abdominal white line above the navel to the transition to the umbilical ring administered flexible port with three working channels: a diameter of 10 mm, for a laparoscope, two diameter 5 mm - for manipulators, after revision subhepatic space, gallbladder fixed soft laparoscopic clip perform its traction for further clipping and crossing elements of the neck of the gallbladder from the abdominal cavity was removed gallbladder, further produce remediation subhepatic space under unstable hemostasis bed gallbladder operate thermocoagulation bed, draining subhepatic tubular space operate graduate that is outputted through the navel, is carried desuflyatsiyu, aponeurosis is sutured in layers, stitches on the skin - on the perimeter of the umbilical ring.
机译:腹腔镜胆囊切除术中改良的脐带入路,包括用缝线材料缝合脐带入层腱膜,吸收时间长,并应用皮肤缝合线,其特征在于,在距离脐带中央1.5- 2 cm处的脐缘处切开皮肤切口,并进行活动以漏斗形的形式在肚脐上方3 cm的腹部白线处操作腱膜,然后过渡到脐带环,并通过三个工作通道进入柔性端口:三个直径的直径用于腹腔镜,用于腹腔镜的直径为10 mm-用于机械手,修改肝下间隙后,将固定的腹腔镜固定的胆囊进行牵引,以进一步夹紧并从腹腔移走胆囊颈部的胆囊,在不稳定的止血床下进一步产生修复肝下间隙的胆囊。手术胆经热凝床,引流肝下​​管太空操作毕业生通过肚脐输出的水,被进行desuflyatsiyu,腱膜被缝合成多层,缝合在皮肤上-在脐带的周围。

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