Year 2010 Vol. 18 No 6

GENERAL AND SPECIAL SURGERY

SHESTIUK A.M., KARPITSKY A.S., PANKO S.V., BOUFALIK R.I.

DETERMINATION OF THE VIDEOTHORACOSCOPY APPROACH PARAMETERS TO THE EPIPHRENIC SEGMENT OF THE ESOPHAGUS

Objectives. Determination of the videothoracoscopy approach parameters to the epiphrenic esophagus segment through the left pleural cavity in men with different kinds of the constitution.
Methods. The areas for optics and manipulators introducing to nake the epiphrenic esophagus segment are determined on the basis of the anropometric measurings and X-ray peculiarities of 106 patients.
Results. It is established that introducing of the optical trocar in the area of the 7th intercostal space on the posterior axillary line on the left is an optimal one at videothoracoscopic surgeries on the epiphrenic esophagus segment regardless of the body constitution. Instrumentation ports should be placed in the 5th intercostal space on the mid-axillary line and in the 8th intercostal space on the posterior-axillary line for dolichomorphic men, in the 5th intercostal space on the mid-axillary line and in 8th intercostal space on the shoulder line for normomorphic men, in the 6th intercostal space on the posterior-axillary line and the 9th intercostal space on the shoulder line for bradimorphic men.
Conclusions. Preparing for the videothoracoscopic intervension on the epiphrenic esophagus segment should be accompanied by previous modelling of trocars imposition areas to introduce optics and instruments which differ depending on the constitution.

Keywords: esophagus, videothoracoscopy, access
p. 12 – 20 of the original issue
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