MD1302Z - Method for laparoscopic cholecystectomy in patients with a pronounced adhesive process - Google Patents

Method for laparoscopic cholecystectomy in patients with a pronounced adhesive process Download PDF

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Publication number
MD1302Z
MD1302Z MDS20180077A MDS20180077A MD1302Z MD 1302 Z MD1302 Z MD 1302Z MD S20180077 A MDS20180077 A MD S20180077A MD S20180077 A MDS20180077 A MD S20180077A MD 1302 Z MD1302 Z MD 1302Z
Authority
MD
Moldova
Prior art keywords
adhesive process
purse
gallbladder
string suture
optical device
Prior art date
Application number
MDS20180077A
Other languages
Romanian (ro)
Russian (ru)
Inventor
Ион ЧУТАК
Михаил УЗУН
Original Assignee
Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова filed Critical Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова
Priority to MDS20180077A priority Critical patent/MD1302Z/en
Publication of MD1302Y publication Critical patent/MD1302Y/en
Publication of MD1302Z publication Critical patent/MD1302Z/en

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Abstract

The invention relates to medicine, namely to laparoscopic surgery, and can be used for treating acute or chronic cholecystitis with a pronounced adhesive process.Summary of the invention consists in that it is performed an oblique incision of a length of 2.0…2.5 cm of the skin and subcutaneous tissue 2 cm lower from the right costal edge along the medioclavicular line, and a 1.5 cm incision is performed on the aponeurosis, then with a blunt instrument is penetrated into the abdominal cavity and is introduced the trocar cannula, after which it is sealed with a purse-string suture, is temporarily introduced the optical device to view the adhesive process and determine the final approach place of the optical device 6…10 cm from the middle line on the right flank, in the first approach is introduced the first working instrument and is performed the adhesiolysis as necessary, depending on the spread of the adhesive process with the preparation of approaches to the gallbladder for the 2nd and 4th working instruments, then is mobilized the gallbladder, is ligated and cut off the bile duct and bile artery, is performed the cholecystectomy, after which is weakened the purse-string suture and removed the gallbladder, then the trocar, is closed the wound by tightening the purse-string suture, are removed the remaining instruments and the wounds are sutured in layers.
MDS20180077A 2018-07-19 2018-07-19 Method for laparoscopic cholecystectomy in patients with a pronounced adhesive process MD1302Z (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
MDS20180077A MD1302Z (en) 2018-07-19 2018-07-19 Method for laparoscopic cholecystectomy in patients with a pronounced adhesive process

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
MDS20180077A MD1302Z (en) 2018-07-19 2018-07-19 Method for laparoscopic cholecystectomy in patients with a pronounced adhesive process

Publications (2)

Publication Number Publication Date
MD1302Y MD1302Y (en) 2019-01-31
MD1302Z true MD1302Z (en) 2019-08-31

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Family Applications (1)

Application Number Title Priority Date Filing Date
MDS20180077A MD1302Z (en) 2018-07-19 2018-07-19 Method for laparoscopic cholecystectomy in patients with a pronounced adhesive process

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MD (1) MD1302Z (en)

Also Published As

Publication number Publication date
MD1302Y (en) 2019-01-31

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Legal Events

Date Code Title Description
FG9Y Short term patent issued
KA4Y Short-term patent lapsed due to non-payment of fees (with right of restoration)