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Method for mini-invasive treatment of massive hepatic metastases
专利权人:
ANGHELICI Gheorghe
发明人:
ANGHELICI Gheorghe,АНГЕЛИЧ Георге
申请号:
MDS20140074
公开号:
MD880Z
申请日:
2014.05.21
申请国别(地区):
MD
年份:
2015
代理人:
摘要:
The invention relates to medicine, particularly to hepatology and oncology, and can be used for mini-invasive treatment of massive hepatic metastases in patients with liver cirrhosis.According to the invention, the claimed method consists in that through the laparoscopic access in the infraumbilical region under video optics control is introduced an additional trocar in the subhepatic region, is removed the ascitic fluid from the abdominal cavity, is identified the hepatic tumor focus and is performed the biopsy sampling from the tumor, then using a bipolar electrode, which is introduced through the trocar port, is performed the bipolar diathermocoagulation with the frequency of 300 kHz and the power of 100…250 W of the tumor central surface with the slow movement of the electrode in its depths with the continued thermodestruction of tumor tissue without damaging the adjacent hepatic tissue, for 3…7 minutes in pulsating regimen, at the same time on the periphery of the intact hepatic tissue is infiltrated 15…30 ml of a mixture comprising per 1 ml:then in the same points is infiltrated fibrinogen sol. 15…30 mg, afterwards in the subhepatic space is introduced a checking drain for 2…5 days and is performed the peritoneal lavage with a mixture containing broad spectrum antibiotics and proteolytic enzymes.Invenţia se referă la medicină, în special la hepatologie şi oncologie, şi poate fi utilizată pentru tratamentul miniinvaziv al metastazelor masive hepatice la pacienţii cu ciroză hepatică.Conform invenţiei, metoda revendicată constă în aceea că prin accesul laparoscopic în regiunea subombilicală sub controlul opticii-video se introduce un trocar suplimentar în regiunea subhepatică, se evacuează lichidul ascitic din cavitatea abdominală, se identifică focarul tumoral hepatic şi se prelevă biopsia din tumoare, apoi cu ajutorul unui electrod bipolar, care se introduce prin portul trocarului, se efectuează diatermocoagularea bipolară cu frecvenţa de 300 kHz şi intensitate
来源网站:
中国工程科技知识中心
来源网址:
http://www.ckcest.cn/home/

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