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METHOD FOR INTRASURGICAL DIAGNOSTICS OF THE PATHOLOGY OF BILIARY DUCTS AT LAPAROSCOPIC OPERATIONS

机译:腹腔镜手术胆道病理的术中诊断方法

摘要

FIELD: medicine, abdominal surgery.;SUBSTANCE: the present innovation should be applied for qualitative diagnostics of the pathology in hepatopancreobiliary area in case of laparoscopic operations upon biliary tracts. Simultaneously, it is necessary to detect the availability of intra-ductal inclusions, evaluate the structure and the function of choledochus' distal departments, measure the diameter of hepaticocholedochus, visualize evacuation into duodenum due to modeling ductal processes being characteristic for low-pressure vessels. Intraoperational laparoscopic ultrasound trial should be carried out in B-mode and in the mode of duplex scanning by energy. Moreover, the trial should be fulfilled during "vascularization" of biliary ducts due to creating there the temporary dosed biliary hypertension ranged 350-500 mm water column and the flow of liquid inside the hepaticocholedochus to be introduced through the catheter towards duodenum. It is necessary to exclude the ductal compression with an ultrasound sensor at measuring the diameter of hepaticocholedochus. As the liquid to be introduced into the ducts one should apply isotonic solution, for example, sodium chloride.;EFFECT: higher accuracy and information value.;3 cl, 8 dwg, 3 ex
机译:领域:医学,腹部外科。;研究对象:如果对胆道进行腹腔镜手术,本创新应用于肝胰腺胆道区域病理的定性诊断。同时,有必要检测导管内夹杂物的可用性,评估胆总管远端部的结构和功能,测量肝胆管的直径,可视化由于模拟低压过程的导管过程而排入十二指肠。术中腹腔镜超声试验应以B模式和能量双重扫描模式进行。此外,由于在此处产生临时剂量的胆道高压范围为350-500 mm的水柱,并且在肝胆道内的液流通过导管流向十二指肠,因此应在胆管“血管化”期间完成该试验。在测量肝胆管的直径时,必须用超声传感器排除导管压迫。由于要引入导管的液体应使用等渗溶液,例如氯化钠。效果:更高的准确性和信息价值。3cl,8 dwg,3 ex

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