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METHOD FOR PREVENTING THE NECROSIS OF LEFT HEPATIC LOBE AT GASTRECTOMY IN CASE OF ESOPHAGEAL OR GASTRIC CANCER AT THE PRESENCE OF ACCESSORY HEPATIC ARTERY
METHOD FOR PREVENTING THE NECROSIS OF LEFT HEPATIC LOBE AT GASTRECTOMY IN CASE OF ESOPHAGEAL OR GASTRIC CANCER AT THE PRESENCE OF ACCESSORY HEPATIC ARTERY
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机译：预防存在辅助肝动脉的食管癌或胃癌的胃切除术中肝左叶坏死的方法
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摘要
FIELD: medicine, surgery. SUBSTANCE: lymph dissection of retroperitoneal fiber with pancreatic lymph nodes, paraaortal area, celiac trunk, left gastric artery is conducted. At lymph dissection one should put the trunk of left gastric artery onto a tourniquet to visualize an accessory hepatic artery above the site of its branching. An ascending left gastric artery is ligated. Secondary order branches of accessory hepatic artery coming to a stomach are ligated under visual control and crossed. Esophageal gastrectomy and/or resection should be performed. The method enables to decrease the number of complications. EFFECT: higher efficiency of prophylaxis. 2 dwg, 1 ex
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机译：领域：医学，外科。实质：进行腹膜后纤维淋巴结清扫术，胰腺淋巴结，主动脉旁区域，腹腔干，左胃动脉。在淋巴清扫术中，应将左胃动脉的干线放在止血带上，以可视化其分支部位上方的肝副动脉。结扎上升的左胃动脉。在视觉控制下结扎进入胃的副肝动脉的二级分支并交叉。应当进行食管胃切除和/或切除。该方法能够减少并发症的数量。效果：更高的预防效率。 2 dwg，1 ex
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