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CHOLECYSTECTOMY TECHNIQUE IN INCREASED PELVIS OF GALL BLADDER ADHERENT TO BILE DUCTS
CHOLECYSTECTOMY TECHNIQUE IN INCREASED PELVIS OF GALL BLADDER ADHERENT TO BILE DUCTS
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机译：胆囊粘连的胆囊胆囊增大的胆囊切除术
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摘要
FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to abdominal surgery. Gall bladder is dissected along the inferolateral wall starting 2.0-2.5 cm above pelvis of gall bladder throughout 2.5-3.0 cm. Gall bladder is cleared from its contents through the section. Then inferolateral wall of pelvis of gall bladder is dissected towards common bile duct and common hepatic duct so that the section line goes along common bile duct and common hepatic duct. Pocket Hartman is cleared from its contents. Its wall is covered and tightened. At first commissures are separated between pelvis of gall bladder and common bile duct. Then commissures are separated pelvis of gall bladder and common hepatic duct. Gall bladder is resected at level of cystic duct. If pathologic common bile duct and common hepatic duct are observed, intraoperative cholangiography is followed with tying the cystic duct up. The bed of gall bladder is peritonised.;EFFECT: method allows eliminating haemorrhage, bile outflow, intraoperative damages of common bile duct and common hepatic duct.;1 dwg, 1 ex
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机译：领域：医学。;物质：发明涉及医学，即腹部手术。胆囊沿着下腹壁解剖，开始于胆囊骨盆上方2.0-2.5 cm，整个2.5-3.0 cm。通过该部分清除胆囊中的内容物。然后将胆囊骨盆的下侧壁朝胆总管和肝总管切开，使剖切线沿着胆总管和肝总管切开。 Pocket Hartman已从其内容中清除。它的墙被覆盖并拧紧。首先，在胆囊骨盆和胆总管之间将连合分开。然后将连合处的胆囊和肝总管分开。在胆囊管水平切除胆囊。如果观察到病理性胆总管和肝总管，则在术中胆道造影后将胆囊管系紧。胆囊床被腹膜化。效果：该方法可消除出血，胆汁流出，术中胆总管和肝总管损伤。1dwg，1 ex
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