Federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie "Federalnyj nauchnyj tsentr transplantologii i iskusstvennykh organov imeni akademika V.I. Shumakova" Ministerstva zdravookhraneniya Rossijskoj Fede
发明人:
Gallyamov Eduard Abdulkhaevich,Галлямов Эдуард Абдулхаевич,Monakhov Artem Rashidovich,Монахов Артем Рашидович,Gote Sergej Vladimirovich,Готье Сергей Владимирович,Zagajnov Evgenij Vladimirovich,Загайно
申请号：
RU2016141627
公开号：
RU0002628056C1
申请日:
2016.10.24
申请国别(地区):
RU
年份:
2017
代理人:
摘要：
FIELD: medicine.SUBSTANCE: at laparoscopic left-sided lateral liver sectorectomy, the left hepatic artery, the left branch of the portal vein, is circularly isolated from the donor after liver left lobe mobilization. A line of resection is marked on the diaphragmatic surface of the liver 3-5 mm to the right from the crescent ligament of the liver. 2-4 cm2 of the liver parenchyma is separated along the intended line. LLS is rotated. 0.5-1 cm2 of the liver parenchyma is separated along the boundary between the lower and middle thirds of the furrow between the caudate lobe of the liver and the LLS. Dissector branches are introduced into the formed hole. On the side of the diaphragmatic liver surface, ends of two ribbons are captured by the dissector and removed from the visceral surface of the liver. Liver parenchyma with a portal plate is suspended on the first ribbon. Liver parenchyma with the left hepatic vein is suspended on the second ribbon. Then, the liver parenchyma is separated along the resection planes by the first and second braid. The portal plate is cut, the left hepatic artery, the left branch of the portal vein, is clipped and crossed, stitched with a hardware suture, and the left hepatic vein is crossed. The transplant is taken from the abdominal cavity.EFFECT: method allows to simplify the technique of liver parenchyma separation for prevention of biliary and vascular complications.5 cl, 4 dwgИзобретение относится к медицине, к хирургии. При лапароскопической левосторонней латеральной секторэктомии печени у донора после мобилизации левой доли печени циркулярно выделяют левую печеночную артерию, левую ветвь воротной вены. Намечают на диафрагмальной поверхности печени линию резекции на 3-5 мм правее серповидной связки печени. Разделяют 2-4 см2 паренхимы печени по намеченной линии. Ротируют ЛЛС. Разделяют 0,5-1 см2 паренхимы печени по границе между нижней и средней третями борозды между хвостатой долей печени и ЛЛС. В сформированное отверстие вводят бран
