Popov Sergej Valerevich (RU),Попов Сергей Валерьевич (RU),Gusejnov Ruslan Gusejnovich (RU),Гусейнов Руслан Гусейнович (RU),Orlov Igor Nikolaevich (RU),Орлов Игорь Николаевич (RU),Vyazovtsev Pavel Vyac
申请号：
RU2019104796
公开号：
RU0002707652C1
申请日:
2019.02.20
申请国别(地区):
RU
年份:
2019
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, specifically to urology. Transumbilical incision of 2–2.5 cm is performed. Abdominal cavity is accessed in layers. Access is used to install a five-channel port through which a laparoscope is delivered into the abdominal cavity. That is followed by laparoscopic examination of all abdominal parts, then lymph node dissection to bifurcation of iliac vessels on both sides. On the right and left of the prostate, a pelvic fascia is opened and prostate lateral walls are separated. Puboprostatic ligaments are marked and an ultrasonic transection of a dorsal complex is performed by means of an ultrasound dissector. Prostate is dissected from urinary bladder. Seminal vesicles are separated and seed ducts cross. Thereafter, the prostate is distally dissected from the urethra and separated from the Denonvilliers' fascia. Prostate and seminal vesicles are removed by single unit in container through central port access. Anastomosis is created between the bladder and urethra with interrupted sutures using Polisorb threads. Profiled urethral Foley 18Ch catheter is inserted. Cylinder is blown up to 10 ml. Anastomotic tightness is monitored. PVC drain tube is inserted into an operation area. Tools and monoport are removed. Sutures are applied to skin, then aseptic dressing.EFFECT: method enables reducing the number and severity of complications and recurrences of the disease, improving quality of life in the postoperative period.1 cl, 1 exИзобретение относится к медицине, а именно к урологии. Выполняют трансумбиликальный разрез размером 2-2,5 см. Послойно осуществляют доступ в брюшную полость. Доступ используется для установки пятиканального порта, через который в брюшную полость проводится лапароскоп. Далее выполняется лапароскопический осмотр всех отделов брюшной полости, затем - лимфодиссекция до бифуркации подвздошных сосудов с обеих сторон. Справа и слева от предстательной железы вскрывается тазовая фасция и выделяются бо
