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METHOD FOR PERFORMING SURGICAL ACCESS IN THE CASES OF RENAL PATHOLOGY

机译:在肾脏病理科中进行外科手术的方法

摘要

FIELD: medicine. SUBSTANCE: method involves carrying out medial laparotomy with opening visceral organs and blood vessels in the cases of renal carcinoma with tumor proliferating into the renal veins or the inferior vena cava. The tumor being found on the right side, the initial stage is to be finished with the second duodenal segment mobilization and the inferior vena cava and renal veins being revealed. Additional vertical incision of the peritoneum above the aorta is carried out at the second stage medial with respect to the inferior mesenteric vein from aorta bifurcation to Treitz ligament. The renal blood vessels, inferior vena cava, and aorta are revealed. The renal blood vessels and ureter are treated and the Treitz ligament is cut. Regional lymphatic nodes along the aorta are withdrawn. EFFECT: enhanced effectiveness in accessing the inferior vena cava.
机译:领域:医学。实质:该方法涉及在肿瘤扩散至肾静脉或下腔静脉的肾癌病例中,在内脏器官和血管开放的情况下进行剖腹手术。肿瘤位于右侧,初始阶段将通过第二十二指肠节段动员结束,并显示下腔静脉和肾静脉。在第二阶段,相对于从主动脉分叉处到Treitz韧带的肠系膜下静脉,在主动脉上方进行腹膜的额外垂直切口。显露肾血管,下腔静脉和主动脉。治疗肾脏血管和输尿管,切开Treitz韧带。沿主动脉的区域淋巴结被撤回。效果:进入下腔静脉的有效性增强。

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