METHOD FOR VIDEOTHORACOSCOPIC ESOPHAGEAL ACCESS
FIELD: medicine, surgery. ^ SUBSTANCE: the present innovation deals with providing endoscopic esophageal access. It is important to put a patient onto left side in case of microsomatic type at the angle of 70°, in case of mesosomatic type - at the angle of 60°, at macrosomatic type - 50° being open...
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Zusammenfassung: | FIELD: medicine, surgery. ^ SUBSTANCE: the present innovation deals with providing endoscopic esophageal access. It is important to put a patient onto left side in case of microsomatic type at the angle of 70°, in case of mesosomatic type - at the angle of 60°, at macrosomatic type - 50° being open against anterior body surface. One should introduce a trocar for access towards the upper esophageal third through III intercostal area along anterior auxiliary line, for the access towards the middle third into IV intercostal area along anterior auxiliary line and into V intercostal area along the middle auxiliary line, and for the access to epiphrenal department - into V intercostals area along anterior auxiliary line and into IV intercostals area along posterior auxiliary line. The innovation enables to decrease the quantity of introduced trocars and decrease the traumatism of the access. ^ EFFECT: higher efficiency. ^ 3 ex, 1 tbl |
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