title: [Anatomic characteristics of relatively inaccessible zones of thoracic duct and principles for improving surgical approaches].
abstract: The analysis of data obtained from investigation of 158 cadavers of adults with the use of complex of anatomic methods and from experiments on video-endosurgical installation revealed that the following ways should be combined to expose thoracic duct relatively inaccessible zones: a method of opened access to thoracic duct using high traumatism elements (clavicotomy and pericardium dissection), video-endosurgical method of access to thoracic duct regions located on the bottom of infundibular recess and use of mechanical clipping for faster block of thoracic duct lumen.
authors.affiliation: Department of Operative Surgery and Clinical Anatomy, I.P. Pavlov State Medical University, St. Petersburg.
authors.forename: O P
authors.initials: OP
authors.lastname: Bol'shakov
authors.forename: G M
authors.initials: GM
authors.lastname: Semenov
authors.forename: V L
authors.initials: VL
authors.lastname: Petrishin
mesh_terms: D000328:Adult; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D013897:Thoracic Duct / Q000033:anatomy & histology* / Q000601:surgery; D019616:Thoracic Surgical Procedures; D014741:Video Recording
vernacular_title: Anatomicheskie kharakteristiki zon otnositel'noĭ nedostupnosti grudnogo protoka i printsipy ulucheniia operativnykh podkhodov.