Невирович Евгений Станиславович (RU),Аль-Шукри Адель Салманович (RU),Игнашов Юрий Анатольевич (RU)
申请号:
RU2015109533
公开号:
RU2015109533A
申请日:
2015.03.18
申请国别(地区):
RU
年份:
2016
代理人:
摘要:
1. A method of prostatectomy extraperitoneal laparoscopic access, comprising: forming a cavity between the muscles of the anterior abdominal wall and the peritoneum by injecting air into the balloon cuff which is placed between said muscle and the peritoneum and is inserted through the layered performed below the navel incision in the skin and muscles of the anterior abdominal wall, feeding in the resulting cavity through a laparoscope endoport installed in place, the balloon cuff, carbon dioxide, its pressure distending the abdominal wall, cc denie into the formed cavity other endoportov for tools required for the operation, and performing said operation, characterized in that in advance, just prior to prostatectomy cavity formed between the muscles of the anterior abdominal wall and the peritoneum, are converted into necessary for laparoscopic surgery workspace - volume adjustment by traction of the anterior abdominal wall up via laparolifta with spokes, which under visual control laparoscope about extraperitoneal odyat through unfolded anterior abdominal wall laterally with capture skin and anterior leaflets recti two spokes arranged in parallel with equidistance from one another, one of which has a length different from the length of the other is about twice, and fixed with their ends to the ends of rigid U-shaped rods laparolifta, and laparolift placed on the anterior abdominal wall to the orientation of long needles toward the pubic symphysis, which is placed at the front of the iliac bone, and short needle - in the area of the navel a, and by1. Способ проведения лапароскопический простатэктомии внебрюшинным доступом, включающий образование полости между мышцами передней брюшной стенки и брюшиной путем нагнетания воздуха в баллон-манжетку, который размещают между упомянутыми мышцами и брюшиной и вставляют через выполняемый под пупком послойный разрез в коже и мышцах передней брюшной стенки, подачу в образовавшуюся полость через эндопорт с лапароскопом, устан