TOPOGRAPHIC AND ANATOMICAL SUBSTANTIATION OF THE CONSTITUTIONAL FEATURES OF LAPAROSCOPIC ACCESS TO THE ABDOMINAL ORGANS

Abstract

The article presents the results of the anatomical survey of 20 human unfixed corpses aged from 37 to 89 years, among which there are 12 men and 8 women. They were divided into the three groups according to the type of constitution: people with a mesomorphic body type, dolichomorphic and brachymorphic. For each group, the topographic anatomical features of the location of the liver, transverse colon and loops of the small intestine, as well as their projection on the front abdominal wall were determined, the distance from the bifurcation of the abdominal aorta to the projection of the navel on the spinal column is calculated. The identified constitutional features allow to justify the introduction of a Veress needle or the first trocar into the abdominal cavity during laparoscopic operations for people with different body types.