Vasilev Pavel Valerevich (RU),Васильев Павел Валерьевич (RU),Ragulina Nina Vladimirovna (RU),Рагулина Нина Владимировна (RU),Ionin Vladimir Petrovich (RU),Ионин Владимир Петрович (RU),Kan Pavel Ben-Kh
申请号：
RU2019101380
公开号：
RU0002733503C2
申请日:
2019.01.17
申请国别(地区):
RU
年份:
2020
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to abdominal surgery. First stage involves the temporary endometrial occlusion of the efferent blood flow in the median hepatic vein by the endovascular cylinder. That is followed by crossing the vascular-secretory pedicle of the hepatic lobe of the liver in the portal gates, resulting in demarcation of the removed lobe of the liver. Liver is separated in the portal and caval gates from the vena cava. Braid is applied and the liver is suspended above the inferior vena cava. Short hepatic veins are sequentially bandaged from the removed lobe. Lobar hepatic vein is ligated and transected on the affected side. Vascular anatomical border is used to dissect a hepatic parenchyma by bandaging the tubular structures in a resection line, completing haemostasis. Blood flow is recovered through a median vein of the liver by removing the balloon.EFFECT: method enables eliminating retrograde blood loss from the median vein of the removed lobe in anatomical resections, to preserve a median vein, to separately treat medial vein inflows on the side of removal, without damaging the vein shaft, exclude the possibility of air and tumor embolism with preserved contralateral blood flow, provide complete vascular isolation of the removed liver lobe, avoiding haemodynamic disorders without reducing central venous pressure, reducing intraoperative injuries by avoiding hepatic ischemia, and reducing overall blood loss.1 cl, 1 dwgИзобретение относится к медицине, а именно к абдоминальной хирургии. Первым этапом выполняют временную окклюзию эфферентного кровотока в срединной печеночной вене эндоваскулярно баллоном. После выполняют пересечение сосудисто-секреторной ножки удаляемой доли печени в портальных воротах, вследствие чего возникает демаркация удаляемой доли печени. Производят отделение печени в области портальных и кавальных ворот от полой вены. Проводят тесьму и подвешивают печень над нижней полой веной. Последовательно
