Popov Sergej Valerevich (RU),Попов Сергей Валерьевич (RU),Gusejnov Ruslan Gusejnovich (RU),Гусейнов Руслан Гусейнович (RU),Kritskij Anatolij Vitalevich (RU),Крицкий Анатолий Витальевич (RU),Koryachkin
申请号：
RU2019121761
公开号：
RU0002733698C1
申请日:
2019.07.09
申请国别(地区):
RU
年份:
2020
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to urology, and can be used for surgical management of prostate cancer. In patient's position lying on side or in sitting position, skin is treated in triple way with aqueous 70 % ethanol solution. Then under local anaesthesia 2.0 ml of 2 % lidocaine with Tuohy 20G needle at L1-Th12 level is punctured and catheterized epidural space, wherein catheter is performed in cranial direction by 3 cm. Puncture needle is removed, an aseptic sticker is applied with catheter fixation to skin of back, patient is placed on back and test dose 3.0 ml of 2.0 % solution of lidocaine is introduced. If blood pressure and heart rate is stable and 98–99 % blood saturation is used, 10.0 ml of 1.0 % ropivacaine solution is administered. In 15 minutes after development of sensory block to level Th8 and satisfactory motor unit for sedation by means of syringe pump, microfluid introduction of 1 % propofol in amount of 3–5 mg/kg*h is started. Thereafter, skin incision 2.0–2.5 cm long is made in periomphalic region 3 cm below the umbilicus, and a retropubic space is inserted in layers. Primary cavity is formed by means of the index finger. Working space is then formed in a retroperitoneal way by means of a manual bullet dilator, then a laparoscope is introduced into it. If the balloon dissector is properly positioned, it is removed and a laparoscope is inserted through the above access into the working cavity. Then trocars and ports are placed: two trocars with diameter equal to 5 mm, through scalpel skin punctures are installed on 3 cm to the right and to the left of the main access. Two ports, the diameter of the first of which is 12 mm, of the second one - 5 mm, are positioned on the iliac spines. Installation of the first twelve-millimetre port is performed at 3 cm median of right iliac bone through skin incision 1 cm long, installation of second five-millimeter port - similarly to the left. That is followed by sequential skele
