METHOD OF SURGICAL SINGLE-PORT VIDEO-ASSISTED THORACOSCOPIC ACCESS TO PLEURAL CAVITY

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely surgery, and may be applicable for surgical single-port video-assisted thoracoscopic access to the pleural cavity. Incision is made from the lateral position of the patient from the back above the anterior portion of the broadest muscle of back between the anterior and middle axillary lines. Anterior margin of the broadest muscle is mobilized along the fascia and is removed subcutaneously with a ligature into the outer corner of the wound, the front gear muscles are exposed and, without dissection, are bluntly bred between the teeth in the projection of the corresponding intercostal space, and at the end of the operation the edge of the broadest muscle is released and returned to the site. After setting the drainage, the operative wound is sealed without a purging suture. When accessing the surgeon is from the back of the patient, and the assistant – from the abdomen.;EFFECT: method allows to reduce the trauma, to increase the angle of manipulation in the chest cavity.;1 cl, 3 ex, 3 dwg