[Application of auxiliary manipulation channel during performance of cholecystectomy using minimal access]

The conduction of the supportive manipulation channel (SMCH) during the cholecystectomy and the oblique-changing gall bladder puncture performance was proposed to improve the conditions for doing the operation, rational application of minimal oblique subcostal access (MOSA) and postoperative complications prophylaxis. There were operated 17 patients using MOSA, in 15 SMCH was conducted, including 2 with intervention on extrahepatic biliary ducts: choledocholithotomy with external draining of common biliary ducts. In 12 patients intradermal suture was done.