;;       Date:   1999-01-27
;;       Author: rodrigues@univ-st-etienne.fr
;;       Description: 
;;       Generated by: Spet
;;       Exported from Tigger version 4.9, at 3:00:01 pm on March 26, 1999
;;      Exported from Tigger version 4.9, at 5:05:41 pm on April 12, 1999
;;     Exported from Tigger version 4.9, at 11:56:54 am on April 20, 1999
;;    Exported from Tigger version 4.9, at 5:49:09 pm on March 7, 2000
;;   Exported from Tigger version 4.9, at 4:56:14 pm on April 10, 2000
;;  Exported from Tigger version 4.9, at 11:13:35 am on April 13, 2000
;; Exported from Tigger version 4.9, at 12:41:10 pm on April 13, 2000

RUBRIC "Exrse ganglionnaire mdiastinale suprieure par cervicotomie ()"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D429"
MAIN excising
	ACTS_ON mediastinal lymph node
		IS_PART_OF part
			HAS_POSITION upper
			IS_PART_OF mediastinum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck

RUBRIC "Gastrectomie partielle infrieure avec anastomose gastro-jjunale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D136"
MAIN excising
	ACTS_ON part
		HAS_POSITION lower
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Gastrectomie partielle infrieure avec anastomose gastro-duodnale [Intervention de Pan], par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D135"
MAIN excising
	ACTS_ON part
		HAS_POSITION lower
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Exrse ganglionnaire cervicale isole de niveau 6 [cervicale antrieure ou prtrachale et prlarynge sus et sous isthmique]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D425"
MAIN excising
	ACTS_ON_1 pretracheal lymphnode
	ACTS_ON_2 prelaryngeal lymphnode
	HAS_LATERALITY unilateral

RUBRIC "Exrse d'une tumeur rectale par voie postrieure trans-osseuse [voie trans-sacro-coccygienne de Kraske]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D230"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_1 sacrum
		ACTS_ON_2 os coccygis

RUBRIC "Suture d'une plaie ou d'une perforation colique, par laparotomie , y compris la toilette pritonale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D205"
MAIN suturing
	ACTS_ON wound
		HAS_LOCATION colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH washing
	ACTS_ON peritoneal cavity
OR_MAIN suturing
	ACTS_ON hole
		HAS_LOCATION colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH washing
	ACTS_ON peritoneal cavity

RUBRIC "Sromyotomie antrieure et vagotomie tronculaire postrieure sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D126"
MAIN incising
	ACTS_ON_1 muscular layer
		IS_PART_OF part
			HAS_POSITION anterior
			IS_PART_OF stomach
	ACTS_ON_2 part
		HAS_PROXIMITY stomach
		IS_PART_OF peritoneum viscerale
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH incising
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vagus nerve
			HAS_DESTINATION abdomen
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Sromyotomie antrieure et vagotomie tronculaire postrieure par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D125"
MAIN incising
	ACTS_ON_1 muscular layer
		IS_PART_OF part
			HAS_POSITION anterior
			IS_PART_OF stomach
	ACTS_ON_2 part
		HAS_PROXIMITY stomach
		IS_PART_OF peritoneum viscerale
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH incising
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF vagus nerve
			HAS_DESTINATION abdomen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cure, par abord direct, d'une hernie inguino-crurale, par ligature, avec ou sans rsection du sac herniaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D033"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION_1 groin
		HAS_LOCATION_2 femoral canal
	BY_TECHNIQUE ligating
		ACTS_ON peritoneum parietale
	HAS_APPROACH open
WITH_OPTIONALLY resecting
	ACTS_ON peritoneum parietale

RUBRIC "Cure d'une hernie crurale unilatrale, par abord direct inguino-crural"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D032"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION femoral canal
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON_1 groin
		ACTS_ON_2 femoral canal
	HAS_APPROACH open
	HAS_LATERALITY unilateral

RUBRIC "Gastrectomie partielle atypique n'interrompant pas la continuit, par laparotomie "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D139"
MAIN excising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT partial

RUBRIC "Rsection du grand piploon [Omentectomie] par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981201,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D016"
MAIN resecting
	ACTS_ON greater omentum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Mise en place d'un cathter intra-pritonal pour dialyse pritonale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981201,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D007"
MAIN installing
	ACTS_ON catheter
		HAS_DESTINATION peritoneal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	TO_ACHIEVE dialysing
		ACTS_ON fluid
			IS_CONTAINED_IN peritoneal cavity

RUBRIC "Coelioscopie exploratrice  pralable  une dcision immdiate de laparotomie pour cancer"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981127,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D001"
MAIN exploring
	ACTS_ON peritoneal cavity
	BY_MEANS_OF laparoscope
		HAS_DESTINATION peritoneal cavity
	TO_ACHIEVE diagnosis
		ACTS_ON surgical deed
		MOTIVATED_BY curing
			ACTS_ON tumour

RUBRIC "Colo-proctectomie totale vido-assiste sans rtablissement de la continuit, y compris l'ilostomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D200"
MAIN excising
	ACTS_ON colon & anus
	HAS_EXTENT total
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin
	WITH_GUIDANCE_BY camera device
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure

RUBRIC "Colo-proctectomie totale vido-assiste  avec anastomose ilo-anale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D199"
MAIN excising
	ACTS_ON colon & anus
	HAS_EXTENT total
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ileum
		CONNECTS_2 anus
	WITH_GUIDANCE_BY camera device

RUBRIC "Colo-proctectomie totale sans rtablissement de la continuit, par laparotomie, y compris l'ilostomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D198"
MAIN excising
	ACTS_ON colon & anus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
WITH creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure

RUBRIC "Colo-proctectomie totale avec anastomose ilo-anale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D197"
MAIN excising
	ACTS_ON colon & anus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
OR_MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ileum
		CONNECTS_2 anus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Colectomie totale vido-assiste avec conservation du rectum  sans rtablissement de la continuit, stomie(s) incluse(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D196"
MAIN excising
	ACTS_ON colon
	HAS_EXTENT total
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON stoma
		CONNECTS_1 rectum
		CONNECTS_2 skin
	WITH_GUIDANCE_BY camera device
WITHOUT_ACTION excising
	ACTS_ON rectum
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure

RUBRIC "Colectomie totale vido-assiste avec conservation du rectum et avec anastomose ilo-rectale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D195"
MAIN excising
	ACTS_ON colon
	HAS_EXTENT total
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ileum
		CONNECTS_2 rectum
	WITH_GUIDANCE_BY camera device
WITHOUT_ACTION excising
	ACTS_ON rectum

RUBRIC "Colectomie totale avec conservation du rectum, par laparotomie, sans rtablissement de la continuit, stomie(s) incluse(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D194"
MAIN excising
	ACTS_ON colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
WITH creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON stoma
		CONNECTS_1 rectum
		CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION excising
	ACTS_ON rectum
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure

RUBRIC "Colectomie totale avec conservation du rectum et avec anastomose ilo-rectale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D193"
MAIN excising
	ACTS_ON colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ileum
		CONNECTS_2 rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION excising
	ACTS_ON rectum

RUBRIC "Colectomie segmentaire transverse, vido-assiste"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D192"
MAIN excising
	ACTS_ON segment
		IS_PART_OF transverse colon
	WITH_GUIDANCE_BY camera device

RUBRIC "Colectomie segmentaire transverse, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D191"
MAIN excising
	ACTS_ON segment
		IS_PART_OF transverse colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Rsection isole d'un diverticule de Meckel par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D171"
MAIN resecting
	ACTS_ON diverticulum ilei verum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Rsections segmentaires multiples (deux segments ou plus) de l'intestin grle, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:37 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D168"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF small intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_NUMBER several

RUBRIC "Fermeture isole d'une entrostomie, par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D164"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 small intestine
		CONNECTS_2 skin
	HAS_APPROACH open

RUBRIC "Appendicectomie isole, par laparotomie, par abord lectif de la fosse iliaque droite"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D151"
MAIN excising
	ACTS_ON appendix
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_APPROACH iliac fossa
		HAS_LATERALITY right

RUBRIC "Appendicectomie  au cours d'une intervention abdominale ou pelvienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D150"
MAIN excising
	ACTS_ON appendix
	OCCURS_DURING surgical deed
		ACTS_ON abdominal cavity
OR_MAIN excising
	ACTS_ON appendix
	OCCURS_DURING surgical deed
		ACTS_ON pelvic cavity

RUBRIC "Fermeture isole de gastrostomie par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D131"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 stomach
		CONNECTS_2 skin
	HAS_APPROACH open

RUBRIC "Gastrostomie isole par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D130"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 stomach
		CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Vagotomie tronculaire par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D123"
MAIN incising
	ACTS_ON vagus nerve
		HAS_DESTINATION abdomen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall

RUBRIC "Cure d'une hernie rtro-costo-xyphodienne, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D108"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION retrocostoxiphoid space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cardiopexie par laparotomie [opration de Hill]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D095"
MAIN fixing
	ACTS_ON cardia of stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Plastie d'une stnose de l'oesophage cervical, par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D094"
MAIN plastic repairing
	ACTS_ON stenosis
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck

RUBRIC "Evacuation et drainage d'une collection abdominale et/ou pelvienne, sous contrle scanographique, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981201,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D021"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION abdominal cavity & pelvic cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ct scan device
WITH draining
	ACTS_ON abscess
		HAS_LOCATION abdominal cavity & pelvic cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ct scan device
OR_MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION abdominal cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ct scan device
WITH draining
	ACTS_ON abscess
		HAS_LOCATION abdominal cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ct scan device
OR_MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION pelvic cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ct scan device
WITH draining
	ACTS_ON abscess
		HAS_LOCATION pelvic cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ct scan device

RUBRIC "Evacuation et drainage d'une collection abdominale et/ou pelvienne, sous contrle chographique, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981201,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D020"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION abdominal cavity & pelvic cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ultrasound machine
WITH draining
	ACTS_ON abscess
		HAS_LOCATION abdominal cavity & pelvic cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ultrasound machine
OR_MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION abdominal cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ultrasound machine
WITH draining
	ACTS_ON abscess
		HAS_LOCATION abdominal cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ultrasound machine
OR_MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION pelvic cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ultrasound machine
WITH draining
	ACTS_ON abscess
		HAS_LOCATION pelvic cavity
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ultrasound machine

RUBRIC "Evacuation et drainage d'une collection du cul de sac de Douglas par rectotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981201,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D019"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION rectovesical pouch
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON rectum
WITH draining
	ACTS_ON abscess
		HAS_LOCATION rectovesical pouch
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON rectum

RUBRIC "Evacuation et drainage d'une collection du cul de sac de Douglas par colpotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981201,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D018"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION rectouterine pouch
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON vagina
WITH draining
	ACTS_ON abscess
		HAS_LOCATION rectouterine pouch
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON vagina

RUBRIC "Evacuation et drainage d'une collection abdominale ou pelvienne par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981201,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D017"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION abdominal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH draining
	ACTS_ON abscess
		HAS_LOCATION abdominal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION pelvic cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH draining
	ACTS_ON abscess
		HAS_LOCATION pelvic cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Coelioscopie [laparoscopie] exploratrice (avec biopsie(s) et/ou prlvements)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981127,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D002"
MAIN exploring
	ACTS_ON peritoneal cavity
	BY_MEANS_OF laparoscope
WITH biopsying
	ACTS_ON part
		IS_CONTAINED_IN abdominal cavity
WITH harvesting
	ACTS_ON part
		IS_CONTAINED_IN abdominal cavity
OR_MAIN exploring
	ACTS_ON peritoneal cavity
	BY_MEANS_OF laparoscope
WITH biopsying
	ACTS_ON part
		IS_CONTAINED_IN abdominal cavity
OR_MAIN exploring
	ACTS_ON peritoneal cavity
	BY_MEANS_OF laparoscope
WITH harvesting
	ACTS_ON part
		IS_CONTAINED_IN abdominal cavity

RUBRIC "Laparotomie exploratrice (avec biopsie(s) et/ou prlvements)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D003"
MAIN exploring
	ACTS_ON abdominal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH biopsying
	ACTS_ON part
		IS_CONTAINED_IN abdominal cavity
WITH harvesting
	ACTS_ON part
		IS_CONTAINED_IN abdominal cavity
OR_MAIN exploring
	ACTS_ON abdominal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH biopsying
	ACTS_ON part
		IS_CONTAINED_IN abdominal cavity
OR_MAIN exploring
	ACTS_ON abdominal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH harvesting
	ACTS_ON part
		IS_CONTAINED_IN abdominal cavity

RUBRIC "Ponction-lavage pritonal  vise exploratrice, avec pose par voie percutane d'un cathter transparital intra-pritonal"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D004"
MAIN exploring
	ACTS_ON peritoneal cavity
	BY_TECHNIQUE puncturing
		ACTS_ON substance
			IS_CONTAINED_IN peritoneal cavity
	BY_TECHNIQUE washing
		ACTS_ON peritoneal cavity
WITH installing
	ACTS_ON catheter
		HAS_DESTINATION peritoneal cavity
	HAS_ROUTE percutaneous route

RUBRIC "Coelio-assistance au cours de polypectomie(s) colique(s) endoscopique(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D005"
MAIN excising
	ACTS_ON polyp
		HAS_LOCATION colon
	BY_TECHNIQUE inspecting
		ACTS_ON colon
		BY_MEANS_OF endoscope
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY endoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Mise en place d'un systme diffuseur implantable pour insulinothrapie intra-pritonale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D008"
MAIN installing
	ACTS_ON chamber implant
		HAS_DESTINATION peritoneal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
TO_ACHIEVE_OVERALL injecting
	ACTS_ON insulin
		HAS_DESTINATION peritoneal cavity

RUBRIC "Ablation, par laparotomie, d'un systme diffuseur implant pour chimiothrapie ou insulinothrapie intrapritonale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981205,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D010"
MAIN removing
	ACTS_ON chamber implant
		HAS_DESTINATION peritoneal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Changement d'un cathter intrapritonal d'un systme diffuseur implantable pour insulinothrapie intrapritonale par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981205,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D011"
MAIN changing
	ACTS_ON chamber implant
		HAS_DESTINATION peritoneal cavity
	HAS_APPROACH open
TO_ACHIEVE_OVERALL injecting
	ACTS_ON insulin
		HAS_DESTINATION peritoneal cavity

RUBRIC "Rduction tumorale d'une maladie glatineuse pritonale par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981206,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D013"
MAIN resecting
	ACTS_ON peritoneal pseudomyxoma
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT partial

RUBRIC "Exrse d'une lsion du msentre (tumeur, adnopathie(s), lymphangiome kystique...) sans rsection intestinale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981127,,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D014"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION mesentery
	BY_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION resecting
	ACTS_ON segment
		IS_PART_OF intestine

RUBRIC "Cure d'une hernie de l'aine unilatrale, par voie inguinale directe, sans mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981201,,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D022"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION groin
	HAS_LATERALITY unilateral
	HAS_ROUTE inguinal approach
WITHOUT_ACTION installing
	ACTS_ON prosthetic implant

RUBRIC "Cure de hernie de l'aine bilatrale, par voie inguinale directe, sans mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981201,,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D023"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION groin
	HAS_LATERALITY bilateral
	HAS_ROUTE inguinal approach
WITHOUT_ACTION installing
	ACTS_ON prosthetic implant

RUBRIC "Cure d'une hernie de l'aine unilatrale, par voie inguinale directe, avec mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D024"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION groin
	HAS_LATERALITY unilateral
	HAS_ROUTE inguinal approach
WITH installing
	ACTS_ON prosthetic implant

RUBRIC "Cure d'une hernie de l'aine bilatrale, par voie inguinale directe, avec mise en place de prothse(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981229,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D025"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION groin
	HAS_LATERALITY bilateral
	HAS_ROUTE inguinal approach
WITH installing
	ACTS_ON prosthetic implant

RUBRIC "Cure d'une hernie de l'aine unilatrale, par voie prpritonale,  ciel ouvert, avec mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D026"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION groin
	HAS_APPROACH open
	HAS_LATERALITY unilateral
	HAS_ROUTE preperitoneal approach
WITH installing
	ACTS_ON prosthetic implant

RUBRIC "Cure de hernie de l'aine bilatrale, par voie prpritonale,  ciel ouvert, avec mise en place de prothse(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D027"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION groin
	HAS_APPROACH open
	HAS_LATERALITY bilateral
	HAS_ROUTE preperitoneal approach
WITH installing
	ACTS_ON prosthetic implant

RUBRIC "Cure d'une hernie de l'aine unilatrale, sous vido-assistance, sans mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D028"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION groin
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY camera device
WITHOUT_ACTION installing
	ACTS_ON prosthetic implant

RUBRIC "Cure de hernie de l'aine bilatrale, sous vido-assistance, sans mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D029"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION groin
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY camera device
WITHOUT_ACTION installing
	ACTS_ON prosthetic implant

RUBRIC "Cure d'une hernie de l'aine unilatrale, sous vido-assistance, avec mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D030"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION groin
	HAS_LATERALITY unilateral
	WITH_GUIDANCE_BY camera device
WITH installing
	ACTS_ON prosthetic implant

RUBRIC "Cure de hernie de l'aine bilatrale, sous vido-assistance, avec mise en place de prothse(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D031"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION groin
	HAS_LATERALITY bilateral
	WITH_GUIDANCE_BY camera device
WITH installing
	ACTS_ON prosthetic implant

RUBRIC "Cure d'une hernie de la paroi abdominale antrieure, de moins de 10 centimtres, par abord direct, sans mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D034"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION abdominal wall
			HAS_POSITION anterior
	HAS_APPROACH open
	HAS_EXTENT less than 10 cm2
WITHOUT_ACTION installing
	ACTS_ON prosthetic implant

RUBRIC "Cure d'une hernie de la paroi abdominale antrieure, de plus de 10 centimtres, par abord direct, sans mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981206,,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D035"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION abdominal wall
			HAS_POSITION anterior
	HAS_APPROACH open
	HAS_EXTENT more than 10 cm2
WITHOUT_ACTION installing
	ACTS_ON prosthetic implant

RUBRIC "Cure d'une hernie de la paroi abdominale antrieure, par abord direct, avec mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D036"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION abdominal wall
			HAS_POSITION anterior
	HAS_APPROACH open
WITH installing
	ACTS_ON prosthetic implant

RUBRIC "Cure d'une ventration post-opratoire de la paroi abdominale antrieure, de moins de 10 centimtres, par abord direct, sans mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981206,,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D037"
MAIN plastic repairing
	ACTS_ON incisional hernia
		HAS_LOCATION abdominal wall
			HAS_POSITION anterior
	HAS_APPROACH open
	HAS_EXTENT less than 10 cm2
	HAS_TEMPORAL_MARKER postoperative
WITHOUT_ACTION installing
	ACTS_ON prosthetic implant

RUBRIC "Cure d'une ventration post-opratoire de la paroi abdominale antrieure, de plus de 10 centimtres, par abord direct, sans mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981206,,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D038"
MAIN plastic repairing
	ACTS_ON incisional hernia
		HAS_LOCATION abdominal wall
			HAS_POSITION anterior
	HAS_APPROACH open
	HAS_EXTENT more than 10 cm2
	HAS_TEMPORAL_MARKER postoperative
WITHOUT_ACTION installing
	ACTS_ON prosthetic implant

RUBRIC "Cure d'une ventration post-opratoire de la paroi abdominale antrieure, par abord direct,  avec mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981206,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D039"
MAIN plastic repairing
	ACTS_ON incisional hernia
		HAS_LOCATION abdominal wall
			HAS_POSITION anterior
	HAS_APPROACH open
	HAS_TEMPORAL_MARKER postoperative
WITH installing
	ACTS_ON prosthetic implant

RUBRIC "Exrse par abord direct d'une tumeur de la paroi abdominale antrieure avec fermeture par suture simple ( l'exclusion des tumeurs cutanes)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D040"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION abdominal wall
			HAS_POSITION anterior
	HAS_APPROACH open
WITH suturing
	ACTS_ON abdominal wall
		HAS_POSITION anterior

RUBRIC "Exrse par abord direct d'une tumeur de la paroi abdominale antrieure avec rparation par prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981206,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D042"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION abdominal wall
			HAS_POSITION anterior
	HAS_APPROACH open
WITH plastic repairing
	ACTS_ON lesion (as structure)
		HAS_LOCATION abdominal wall
			HAS_POSITION anterior
	BY_MEANS_OF prosthetic graft

RUBRIC "Fermeture d'une laparostomie, par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D043"
MAIN closing
	ACTS_ON stoma
		HAS_LOCATION abdominal wall
	HAS_APPROACH open

RUBRIC "Ablation par abord direct d'une prothse paritale abdominale, y compris la mise  plat de l'abcs pri-prothtique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D044"
MAIN removing
	ACTS_ON prosthetic graft
		HAS_LOCATION abdominal wall
	HAS_APPROACH open
WITH incising
	ACTS_ON abscess
		HAS_LOCATION abdominal wall

RUBRIC "Fermeture, par abord direct, d'une viscration abdominale post-opratoire, avec ou sans mise en place de prothse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D046"
MAIN closing
	ACTS_ON evisceration
		HAS_LOCATION abdominal wall
	HAS_APPROACH open
	HAS_TEMPORAL_MARKER postoperative
WITH plastic repairing
	ACTS_ON abdominal wall
	BY_MEANS_OF prosthetic graft
WITH_OPTIONALLY installing
	ACTS_ON prosthetic implant

RUBRIC "A  l'exclusion de :  Exrse d'une tumeur cutane de la paroi abdominale antrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,0"
PARAPHRASE "a"
SOURCE ""
CODE "D041"
MAIN apportioning

RUBRIC "Libration des lsions de l'extrmit distale d'un cathter d'un systme diffuseur implantable pour insulinothrapie intrapritonale, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981229,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D012"
MAIN freeing
	ACTS_ON catheter
		CONNECTS chamber implant
			HAS_DESTINATION peritoneal cavity
		HAS_LOCATION peritoneal cavity
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Epiplooplastie extra-pritonale par libration de la grande courbure gastrique et pdiculisation sur un pdicule gastro-piploque par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981229,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D015"
MAIN plastic repairing
	ACTS_ON greater omentum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_TECHNIQUE freeing
		ACTS_ON part
			CONNECTS greater gastric curvature
			IS_PART_OF greater omentum
	BY_TECHNIQUE decreasing
		ACTS_ON greater omentum
		BY_TECHNIQUE creating
			ACTS_ON anastomosis structure
				CONNECTS_1 stomach
				CONNECTS_2 greater omentum
				CONTAINS vessel
	HAS_ROUTE extraperitoneal

RUBRIC "Epiplooplastie intra-abdominale , par libration de la grande courbure gastrique et pdiculisation sur un pdicule gastro-piploque par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981210,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D006"
MAIN plastic repairing
	ACTS_ON greater omentum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall & peritoneal cavity
	BY_TECHNIQUE freeing
		ACTS_ON part
			CONNECTS greater gastric curvature
			IS_PART_OF greater omentum
	BY_TECHNIQUE decreasing
		ACTS_ON greater omentum
		BY_TECHNIQUE creating
			ACTS_ON anastomosis structure
				CONNECTS_1 stomach
				CONNECTS_2 greater omentum
				CONTAINS vessel

RUBRIC "Dermolipectomie totale circulaire, y compris la rparation de la dhiscence paritale (suture du diastasis des droits de l'abdomen) et la fermeture d'une ventration"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981229,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D045"
MAIN excising
	ACTS_ON cutaneous layer & fat tissue
		IS_PART_OF abdominal wall
OR_WITH closing
	ACTS_ON evisceration
		HAS_LOCATION abdominal wall
WITH closing
	ACTS_ON disruption of abdominal wall

RUBRIC "Suture d'une perforation de l'oesophage cervical, par cervicotomie, avec ou sans drainage externe de l'oeoesophage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981207,,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D047"
MAIN suturing
	ACTS_ON breach
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH_OPTIONALLY draining
	ACTS_ON oesophagus

RUBRIC "Suture d'une perforation de l'oesophage thoracique, par thoracoscopie, avec ou sans drainage externe de l'oesophage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D048"
MAIN suturing
	ACTS_ON breach
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN thoracic cavity
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON thoracic cavity
		BY_MEANS_OF endoscope
WITH_OPTIONALLY draining
	ACTS_ON oesophagus

RUBRIC "Suture d'une perforation de l'oesophage thoracique, par thoracotomie, avec ou sans drainage externe de l'oesophage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D049"
MAIN suturing
	ACTS_ON breach
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN thoracic cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITH_OPTIONALLY draining
	ACTS_ON oesophagus

RUBRIC "Suture d'une plaie oesophagienne par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981202,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D050"
MAIN suturing
	ACTS_ON wound
		HAS_LOCATION oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Oesophagostomie, quelle qu'en soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D051"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 oesophagus
		CONNECTS_2 thorax wall / abdominal wall

RUBRIC "Fermeture d'une oesophagostomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981207,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D052"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 oesophagus
		CONNECTS_2 abdominal wall / thorax wall

RUBRIC "Rsection d'un diverticule de l'oesophage thoracique avec ou sans myotomie extra-muqueuse, par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D054"
MAIN resecting
	ACTS_ON diverticulum
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN thoracic cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITH incising
	ACTS_ON muscular layer
OR_MAIN resecting
	ACTS_ON diverticulum
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN thoracic cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITHOUT_ACTION incising
	ACTS_ON muscular layer

RUBRIC "Exclusion bipolaire de l'oesophage par cervicotomie et par laparotomie, y compris l'oesophagostomie et la gastrostomie ou la jjunostomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D053"
MAIN unshunting
	ACTS_ON oesophagus
	BY_TECHNIQUE creating
		ACTS_ON stoma
			CONNECTS_1 oesophagus
			CONNECTS_2 skin
		BY_APPROACH_TECHNIQUE incising
			ACTS_ON neck
	BY_TECHNIQUE creating
		ACTS_ON stoma
			CONNECTS_1 stomach
			CONNECTS_2 skin
		BY_APPROACH_TECHNIQUE incising
			ACTS_ON abdominal wall
OR_MAIN unshunting
	ACTS_ON oesophagus
	BY_TECHNIQUE creating
		ACTS_ON stoma
			CONNECTS_1 oesophagus
			CONNECTS_2 skin
		BY_APPROACH_TECHNIQUE incising
			ACTS_ON neck
	BY_TECHNIQUE creating
		ACTS_ON stoma
			CONNECTS_1 jejunum
			CONNECTS_2 skin
		BY_APPROACH_TECHNIQUE incising
			ACTS_ON abdominal wall

RUBRIC "Rsection d'un diverticule de l'oesophage thoracique avec ou sans myotomie extra-muqueuse, par thoracoscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D055"
MAIN resecting
	ACTS_ON diverticulum
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN thoracic cavity
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON thoracic cavity
		BY_MEANS_OF endoscope
WITH incising
	ACTS_ON muscular layer
OR_MAIN resecting
	ACTS_ON diverticulum
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN thoracic cavity
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON thoracic cavity
		BY_MEANS_OF endoscope
WITHOUT_ACTION incising
	ACTS_ON muscular layer

RUBRIC "Rsection d'un diverticule de l'oesophage cervical avec ou sans myotomie extra-muqueuse, par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:39 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D056"
MAIN resecting
	ACTS_ON diverticulum
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH incising
	ACTS_ON muscular layer
OR_MAIN resecting
	ACTS_ON diverticulum
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION incising
	ACTS_ON neck

RUBRIC "Diverticulopexie cervicale avec ou sans myotomie extra-muqueuse, par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981208,,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D057"
MAIN fixing
	ACTS_ON diverticulum
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH incising
	ACTS_ON muscular layer
OR_MAIN fixing
	ACTS_ON diverticulum
		HAS_LOCATION oesophagus
			IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION incising
	ACTS_ON muscular layer

RUBRIC "Excision d'une tumeur oesophagienne, sans interruption de la continuit oesophagienne, par thoracoscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981208,,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D058"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION oesophagus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON thoracic cavity
		BY_MEANS_OF endoscope
WITHOUT_ACTION excising
	ACTS_ON segment
		IS_PART_OF oesophagus

RUBRIC "Excision d'une tumeur oesophagienne, sans interruption de la continuit oesophagienne, par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981208,,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D059"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITHOUT_ACTION excising
	ACTS_ON segment
		IS_PART_OF oesophagus

RUBRIC "Oesophagectomie ou oesogastrectomie polaire suprieure et oesophago-gastroplastie par 2 voies : coelioscopie et thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D060"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON oesophagus
		BY_MEANS_OF endoscope
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_APPROACH 2 combined approaches
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 stomach
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON oesophagus
		BY_MEANS_OF endoscope
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON stomach
		BY_MEANS_OF endoscope
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 part
			HAS_POSITION lower
			IS_PART_OF stomach

RUBRIC "Oesophagectomie ou oesogastrectomie polaire suprieure et oesophago-gastroplastie par 2 voies : laparotomie et thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D061"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_APPROACH 2 combined approaches
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 stomach
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_APPROACH 2 combined approaches
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 stomach
		CONNECTS_2 part
			HAS_POSITION lower
			IS_PART_OF stomach

RUBRIC "Oesophagectomie ou oesogastrectomie polaire suprieure et oesophago-gastroplastie par 3  voies : laparotomie, thoracotomie et cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:39 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D063"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 3 combined approaches
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 stomach
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 3 combined approaches
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 stomach
		CONNECTS_2 part
			HAS_POSITION lower
			IS_PART_OF stomach

RUBRIC "Oesophagectomie ou oesogastrectomie polaire suprieure et oesophago-gastroplastie par 3 voies : coelioscopie, thoracotomie et cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:39 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D062"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON oesophagus
		BY_MEANS_OF laparoscope
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 3 combined approaches
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 stomach
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON oesophagus
		BY_MEANS_OF laparoscope
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 3 combined approaches
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 part
			HAS_POSITION lower
			IS_PART_OF stomach

RUBRIC "Oesophagectomie ou oesogastrectomie polaire suprieure et oesophago-gastroplastie par thoraco-phrnotomie gauche"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D065"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
			HAS_LATERALITY left
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
			HAS_LATERALITY left
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 stomach
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
			HAS_LATERALITY left
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
			HAS_LATERALITY left
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
			HAS_LATERALITY left
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
			HAS_LATERALITY left
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 part
			HAS_POSITION lower
			IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
			HAS_LATERALITY left
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
			HAS_LATERALITY left

RUBRIC "Oesophagectomie ou oesogastrectomie polaire suprieure et oesophago-gastroplastie par thoraco-phrno-laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D064"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 stomach
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 part
			HAS_POSITION lower
			IS_PART_OF stomach

RUBRIC "Oesophagectomie ou oesogastrectomie polaire suprieure ou totale et rtablissement de la continuit par anse en Y par  2  voies : laparotomie et thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D066"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_APPROACH 2 combined approaches
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 segmenta intestinum tenue mesenteriale
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_APPROACH 2 combined approaches
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 segmenta intestinum tenue mesenteriale
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_APPROACH 2 combined approaches
WITH excising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 segmenta intestinum tenue mesenteriale
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall

RUBRIC "Oesophagectomie ou oesogastrectomie polaire suprieure ou totale et  oesophago-coloplastie par  2  voies : laparotomie et thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D067"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_APPROACH 2 combined approaches
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_APPROACH 2 combined approaches
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_APPROACH 2 combined approaches
WITH excising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall

RUBRIC "Oesophagectomie ou oesogastrectomie polaire suprieure ou totale et oesophago-coloplastie par 3 voies : laparotomie, thoracotomie et cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:39 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D068"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 2 combined approaches
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 3 combined approaches
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 3 combined approaches
WITH excising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck

RUBRIC "Oesophagectomie ou oesogastrectomie polaire suprieure ou totale et oesophago-coloplastie par thoraco-phrno-laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D069"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Oesophagectomie ou oesogastrectomie polaire suprieure ou totale et rtablissement de la continuit par anse en Y par thoraco-phrno-laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D070"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 segmenta intestinum tenue mesenteriale
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 segmenta intestinum tenue mesenteriale
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 segmenta intestinum tenue mesenteriale
		HAS_POSITION lateral
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Oesophagectomie totale avec gastrectomie polaire suprieure ou totale,  thorax ferm, par laparotomie et cervicotomie, sans rtablissement de la continuit, avec d'une part oesophagostomie et d'autre part gastrostomie ou jjunostomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:39 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D071"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 2 combined approaches
	HAS_EXTENT total
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH creating
	ACTS_ON stoma
		CONNECTS_1 oesophagus
		CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH creating
	ACTS_ON stoma
		CONNECTS_1 stomach / jejunum
		CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION surgical deed
	ACTS_ON thoracic cavity
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 2 combined approaches
	HAS_EXTENT total
WITH excising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
WITH creating
	ACTS_ON stoma
		CONNECTS_1 oesophagus
		CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH creating
	ACTS_ON stoma
		CONNECTS_1 jejunum
		CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION surgical deed
	ACTS_ON thoracic cavity

RUBRIC "Oesophagectomie totale avec ou sans gastrectomie polaire suprieure ou totale,  thorax ferm, par laparotomie et cervicotomie, avec oesophago-coloplastie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D072"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 2 combined approaches
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION surgical deed
	ACTS_ON thoracic cavity
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 2 combined approaches
	HAS_EXTENT total
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION surgical deed
	ACTS_ON thoracic cavity
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 2 combined approaches
	HAS_EXTENT total
WITH excising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION surgical deed
	ACTS_ON thoracic cavity

RUBRIC "Oesophagectomie totale avec ou sans gastrectomie polaire suprieure,  thorax ferm, par laparotomie et cervicotomie, avec oesophago-gastroplastie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D073"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 2 combined approaches
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION surgical deed
	ACTS_ON thoracic cavity
OR_MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_APPROACH 2 combined approaches
	HAS_EXTENT total
WITH excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 part
			HAS_POSITION lower
			IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION surgical deed
	ACTS_ON thoracic cavity

RUBRIC " temps cervical de l'intervention par chirurgien ORL"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D075"
MAIN surgery

RUBRIC "Oeso-pharyngo-laryngectomie totale  thorax ferm avec oesophago-coloplastie, par deux quipes de disciplines diffrentes : temps cervical de l'intervention par le chirurgien ORL"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D074"
MAIN excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
WITH excising
	ACTS_ON pharynx
	HAS_EXTENT total
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
WITHOUT_ACTION incising
	ACTS_ON thorax wall

RUBRIC "  temps cervical de l'intervention par chirurgien ORL"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D077"
MAIN surgery

RUBRIC "  temps cervical de l'intervention par chirurgien ORL"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D079"
MAIN surgery

RUBRIC "  temps micro-chirurgical de micro-anastomose par chirurgien vasculaire ou plasticien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D080"
MAIN surgery

RUBRIC "Pharyngo-laryngectomie totale circulaire avec transplant jjunal libre microanastomos, par trois quipes de disciplines diffrentes : temps cervical de l'intervention par le chirurgien ORL"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981209,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D078"
MAIN excising
	ACTS_ON pharynx
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 mouth
		CONNECTS_2 oesophagus
	BY_MEANS_OF microsurgical device
	BY_TECHNIQUE transplanting
		ACTS_ON segmenta intestinum tenue mesenteriale
			IS_PART_OF jejunum

RUBRIC " temps cervical de l'intervention par chirurgien ORL"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D082"
MAIN surgery

RUBRIC "Pharyngo-laryngectomie totale circulaire avec coloplastie rtrosternale, par deux quipes de disciplines diffrentes : temps cervical de l'intervention par chirurgien ORL"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981209,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D081"
MAIN excising
	ACTS_ON pharynx
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 mouth
		CONNECTS_2 colon
		IS_PART_OF retrosternal space

RUBRIC "Oesophago-coloplastie rtrosternale isole sans oesophagectomie, par cervicotomie et laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981209,,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:39 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D083"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 colon
		IS_CONTAINED_IN retrosternal space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_APPROACH 2 combined approaches
WITHOUT_ACTION excising
	ACTS_ON oesophagus

RUBRIC "Oesophago-gastroplastie rtrosternale isole sans oesophagectomie, par cervicotomie et laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981209,,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D084"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 stomach
		IS_CONTAINED_IN retrosternal space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_APPROACH 2 combined approaches
WITHOUT_ACTION excising
	ACTS_ON oesophagus

RUBRIC "Oeso-cardio-myotomie extra-muqueuse sans ralisation d'un procd anti-reflux, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D085"
MAIN incising
	ACTS_ON muscular layer
		IS_PART_OF oesophagus & cardia of stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Oeso-cardio-myotomie extra-muqueuse avec ralisation d'un procd anti-reflux, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D086"
MAIN incising
	ACTS_ON muscular layer
		IS_PART_OF oesophagus & cardia of stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Oeso-cardio-myotomie extra-muqueuse avec ralisation d'un procd anti-reflux, par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D090"
MAIN incising
	ACTS_ON muscular layer
		IS_PART_OF oesophagus & cardia of stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITH creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Oeso-cardio-myotomie extra-muqueuse sans ralisation d'un procd anti-reflux, par coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D091"
MAIN incising
	ACTS_ON muscular layer
		IS_PART_OF oesophagus & cardia of stomach
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITHOUT_ACTION creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Oeso-cardio-myotomie extra-muqueuse sans ralisation d'un procd anti-reflux, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D092"
MAIN incising
	ACTS_ON muscular layer
		IS_PART_OF oesophagus & cardia of stomach
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH creating
	ACTS_ON device
		HAS_FUNCTION gastric continence
WITHOUT_ACTION creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Oeso-cardio-myotomie extra-muqueuse sans ralisation d'un procd anti-reflux, par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D089"
MAIN incising
	ACTS_ON muscular layer
		IS_PART_OF oesophagus & cardia of stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITHOUT_ACTION creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Oeso-cardio-myotomie extra-muqueuse avec ralisation d'un procd anti-reflux, par thoracoscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D088"
MAIN incising
	ACTS_ON muscular layer
		IS_PART_OF oesophagus & cardia of stomach
	BY_TECHNIQUE inspecting
		ACTS_ON thoracic cavity
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Oeso-cardio-myotomie extra-muqueuse sans ralisation d'un procd anti-reflux, par thoracoscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D087"
MAIN incising
	ACTS_ON muscular layer
		IS_PART_OF oesophagus & cardia of stomach
	BY_TECHNIQUE inspecting
		ACTS_ON thoracic cavity
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITHOUT_ACTION creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Fermeture d'une fistule oeso-trachale acquise, par thoracotomie, sans rsection trachale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D093"
MAIN closing
	ACTS_ON surgical fistula
		CONNECTS_1 oesophagus
		CONNECTS_2 trachea
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITHOUT_ACTION resecting
	ACTS_ON trachea

RUBRIC "Cardiopexie sous coelioscopie [opration de Hill]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981027,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D096"
MAIN fixing
	ACTS_ON cardia of stomach
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Confection isole d'une valve tubrositaire [procd anti-reflux] avec libration de la grande courbure gastrique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D097"
MAIN creating
	ACTS_ON device
		HAS_FUNCTION gastric continence
		HAS_LOCATION valve
			IS_PART_OF part
				HAS_POSITION upper
				IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH freeing
	ACTS_ON greater gastric curvature

RUBRIC "Confection isole d'une valve tubrositaire [procd anti-reflux] sans libration de la grande courbure gastrique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D098"
MAIN creating
	ACTS_ON device
		HAS_FUNCTION gastric continence
		HAS_LOCATION valve
			IS_PART_OF part
				HAS_POSITION upper
				IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION freeing
	ACTS_ON greater gastric curvature

RUBRIC "Confection isole d'une valve tubrositaire [procd anti-reflux] avec libration de la grande courbure gastrique, par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D099"
MAIN creating
	ACTS_ON device
		HAS_FUNCTION gastric continence
		HAS_LOCATION valve
			IS_PART_OF part
				HAS_POSITION upper
				IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITH freeing
	ACTS_ON greater gastric curvature

RUBRIC "Confection isole d'une valve tubrositaire [procd anti-reflux] sans libration de la grande courbure gastrique, par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D100"
MAIN creating
	ACTS_ON device
		HAS_FUNCTION gastric continence
		HAS_LOCATION valve
			IS_PART_OF part
				HAS_POSITION upper
				IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
WITHOUT_ACTION freeing
	ACTS_ON greater gastric curvature

RUBRIC "Confection isole d'une valve tubrositaire [procd anti-reflux] avec libration de la grande courbure gastrique, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D101"
MAIN creating
	ACTS_ON device
		HAS_FUNCTION gastric continence
		HAS_LOCATION valve
			IS_PART_OF part
				HAS_POSITION upper
				IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH freeing
	ACTS_ON greater gastric curvature

RUBRIC "Confection isole d'une valve tubrositaire [procd anti-reflux] sans libration de la grande courbure gastrique, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D102"
MAIN creating
	ACTS_ON device
		HAS_FUNCTION gastric continence
		HAS_LOCATION valve
			IS_PART_OF part
				HAS_POSITION upper
				IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITHOUT_ACTION freeing
	ACTS_ON greater gastric curvature

RUBRIC "Cure d'une hernie para-oesophagienne avec mise en place de prothse, par laparotomie, y compris la ralisation d'un procd anti-reflux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D103"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION peri oesophagus space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_MEANS_OF prosthetic graft
WITH creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Cure d'une hernie para-oesophagienne avec mise en place de prothse, sous coelioscopie, y compris la ralisation d'un procd anti-reflux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D104"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION peri oesophagus space
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	BY_MEANS_OF prosthetic graft
	WITH_GUIDANCE_BY laparoscope
WITH creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Cure d'une hernie para-oesophagienne sans mise en place de prothse, sous coelioscopie, y compris la ralisation d'un procd anti-reflux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D105"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION peri oesophagus space
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Cure d'une hernie para-oesophagienne sans mise en place de prothse, par laparotomie, y compris la ralisation d'un procd anti-reflux"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D106"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION peri oesophagus space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON device
		HAS_FUNCTION gastric continence

RUBRIC "Cure d'une hernie rtro-costo-xyphodienne, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D107"
MAIN plastic repairing
	ACTS_ON hernia
		HAS_LOCATION retrocostoxiphoid space
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Plastie d'une coupole pour ventration diaphragmatique [Plicature du diaphragme], par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D109"
MAIN plastic repairing
	ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_TECHNIQUE plicating
		ACTS_ON diaphragm
	HAS_EXTENT hemi
MOTIVATED_OVERALL_BY curing
	ACTS_ON hernia
		HAS_LOCATION diaphragm

RUBRIC "Plastie d'une coupole pour ventration diaphragmatique [Plicature du diaphragme], par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981230,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D110"
MAIN plastic repairing
	ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_TECHNIQUE plicating
		ACTS_ON diaphragm
	HAS_EXTENT hemi
MOTIVATED_OVERALL_BY curing
	ACTS_ON hernia
		HAS_LOCATION diaphragm

RUBRIC "Rparation d'une rupture ancienne de la coupole diaphragmatique gauche, par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D111"
MAIN plastic repairing
	ACTS_ON rupture
		HAS_LOCATION diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_EXTENT hemi
	HAS_LATERALITY left
	HAS_TEMPORAL_MARKER secondary

RUBRIC "Rparation d'une rupture de la coupole diaphragmatique droite, quelle que soit la voie d'abord"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D112"
MAIN plastic repairing
	ACTS_ON rupture
		HAS_LOCATION diaphragm
	HAS_APPROACH open
	HAS_EXTENT hemi
	HAS_LATERALITY right

RUBRIC "Rparation d'une rupture rcente de la coupole diaphragmatique gauche, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D113"
MAIN plastic repairing
	ACTS_ON rupture
		HAS_LOCATION diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT hemi
	HAS_LATERALITY left
	HAS_TEMPORAL_MARKER recent

RUBRIC "Rparation d'une rupture rcente de la coupole diaphragmatique gauche, par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D114"
MAIN plastic repairing
	ACTS_ON rupture
		HAS_LOCATION diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	HAS_EXTENT hemi
	HAS_LATERALITY left
	HAS_TEMPORAL_MARKER recent

RUBRIC "Rparation d'une rupture rcente de la coupole diaphragmatique gauche, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D115"
MAIN plastic repairing
	ACTS_ON rupture
		HAS_LOCATION diaphragm
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT hemi
	HAS_LATERALITY left
	HAS_TEMPORAL_MARKER recent
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Curage ganglionnaire D2 au cours d'une gastrectomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D116"
MAIN excising
	ACTS_ON abdominal lymphnode
	HAS_EXTENT complete
	OCCURS_DURING excising
		ACTS_ON stomach

RUBRIC "Vagotomie supra-slective sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D117"
MAIN incising
	ACTS_ON part
		IS_PART_OF vagus nerve
			HAS_DESTINATION fundus of stomach
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Vagotomie supra-slective par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D118"
MAIN incising
	ACTS_ON part
		IS_PART_OF vagus nerve
			HAS_DESTINATION fundus of stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Vagotomie tronculaire avec pyloroplastie ou duodnoplastie, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D120"
MAIN incising
	ACTS_ON vagus nerve
		HAS_DESTINATION abdomen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH enlarging
	ACTS_ON pylorus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN incising
	ACTS_ON vagus nerve
		HAS_DESTINATION abdomen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH enlarging
	ACTS_ON duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Vagotomie tronculaire sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D121"
MAIN incising
	ACTS_ON vagus nerve
		HAS_DESTINATION abdomen
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Vagotomie tronculaire par thoracoscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D122"
MAIN incising
	ACTS_ON vagus nerve
		HAS_DESTINATION abdomen
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON thoracic cavity
		BY_MEANS_OF endoscope

RUBRIC "Vagotomie tronculaire avec antrectomie par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D124"
MAIN incising
	ACTS_ON vagus nerve
		HAS_DESTINATION abdomen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON gastric antrum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Gastrotomie isole pour exploration, hmostase, ablation de corps tranger(s) ou exrse(s) de tumeur(s)... par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D127"
MAIN incising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	TO_ACHIEVE surgical deed
		ACTS_ON stomach

RUBRIC "Duodnotomie isole pour exploration, hmostase, ablation de corps tranger(s) ou exrse(s) de tumeur(s)... par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D128"
MAIN incising
	ACTS_ON duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	TO_ACHIEVE surgical deed
		ACTS_ON duodenum

RUBRIC "Gastro-jjunostomie isole sans rsection gastrique par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D129"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION resecting
	ACTS_ON stomach

RUBRIC "Vagotomie tronculaire avec gastro-entrostomie par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D119"
MAIN incising
	ACTS_ON vagus nerve
		HAS_DESTINATION abdomen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Pyloroplastie ou duodnoplastie isole par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D132"
MAIN enlarging
	ACTS_ON pylorus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN enlarging
	ACTS_ON duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Pyloroplastie ou duodnoplastie isole sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D133"
MAIN enlarging
	ACTS_ON pylorus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN enlarging
	ACTS_ON duodenum
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Gastrectomie partielle suprieure, y compris l'exrse oesophagienne, avec rtablissement de la continuit, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D137"
MAIN excising
	ACTS_ON part
		HAS_POSITION upper
		IS_PART_OF stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT partial
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Gastrectomie totale, y compris l'exrse oesophagienne, avec rtablissement de la continuit, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D138"
MAIN excising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
WITH excising
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Remise en circuit du duodnum, par laparotomie, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D142"
MAIN unshunting
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Court circuit (Bypass) gastrique pour obsit morbide, par laparotomie (intervention de Scapinaro]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D145"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON obesity

RUBRIC "Exclusion duodnale (fermeture de l'estomac et gastro-jjunostomie), par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D147"
MAIN closing
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Diversion duodnale (vagotomie, gastrectomie et gastro-jjunostomie), par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D146"
MAIN incising
	ACTS_ON vagus nerve
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Suture gastrique ou duodnale pour plaie ou perforation, y compris la toilette pritonale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D148"
MAIN suturing
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON wound
WITH washing
	ACTS_ON peritoneal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN suturing
	ACTS_ON duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON wound
WITH washing
	ACTS_ON peritoneal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Suture gastrique ou duodnale pour plaie ou perforation,  y compris la toilette pritonale, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D149"
MAIN suturing
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON wound
WITH washing
	ACTS_ON peritoneal cavity
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
OR_MAIN suturing
	ACTS_ON duodenum
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON wound
WITH washing
	ACTS_ON peritoneal cavity
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope

RUBRIC "Appendicectomie isole, par laparotomie, par abord lectif de la fosse iliaque droite, avec toilette pritonale pour pritonite aigu gnralise"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D152"
MAIN excising
	ACTS_ON appendix
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_APPROACH iliac fossa
		HAS_LATERALITY right
WITH washing
	ACTS_ON peritoneal cavity
	MOTIVATED_BY curing
		ACTS_ON infection
			ACTS_ON peritoneal cavity

RUBRIC "Appendicectomie isole, par laparotomie, autre que l'abord lectif de la fosse iliaque droite"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D153"
MAIN excising
	ACTS_ON appendix
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION excising
	ACTS_ON appendix
	HAS_APPROACH iliac fossa
		HAS_LATERALITY right

RUBRIC "Appendicectomie isole, par laparotomie, autre que l'abord lectif de la fosse iliaque droite, avec toilette pritonale pour pritonite aigu gnralise"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D154"
MAIN excising
	ACTS_ON appendix
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH washing
	ACTS_ON peritoneal cavity
	MOTIVATED_BY curing
		ACTS_ON infection
			ACTS_ON peritoneal cavity
WITHOUT_ACTION excising
	ACTS_ON appendix
	HAS_APPROACH iliac fossa
		HAS_LATERALITY right

RUBRIC "Appendicectomie isole, sous coelioscopie ou coelio-assiste"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D155"
MAIN excising
	ACTS_ON appendix
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN excising
	ACTS_ON appendix
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Appendicectomie isole, sous coelioscopie ou coelio-assiste, avec toilette pritonale pour pritonite aigu gnralise"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D156"
MAIN excising
	ACTS_ON appendix
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH washing
	ACTS_ON peritoneal cavity
	MOTIVATED_BY curing
		ACTS_ON infection
			HAS_LOCATION peritoneal cavity
OR_MAIN excising
	ACTS_ON appendix
	WITH_GUIDANCE_BY laparoscope
WITH washing
	ACTS_ON peritoneal cavity
	MOTIVATED_BY curing
		ACTS_ON infection
			HAS_LOCATION peritoneal cavity

RUBRIC "Rsection segmentaire de l'intestin grle par laparotomie, pour occlusion"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D157"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF small intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON occlusion

RUBRIC "Dgastro-gastrectomie partielle avec rtablissement de la continuit, par laparotomie, y compris la rsection segmentaire du grle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D140"
MAIN unshunting
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON stomach
	HAS_EXTENT partial
WITH resecting
	ACTS_ON segment
		IS_PART_OF small intestine
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 intestine

RUBRIC "Totalisation secondaire de gastrectomie avec rtablissement de la continuit, par laparotomie, y compris la rsection segmentaire du grle"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D141"
MAIN excising
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	FOLLOWS excising
		ACTS_ON stomach
		HAS_EXTENT partial
	HAS_EXTENT complete
	HAS_TEMPORAL_MARKER secondary
WITH resecting
	ACTS_ON segment
		IS_PART_OF small intestine
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 intestine

RUBRIC "Libration de l'intestin grle pour occlusion, par section de bride(s) par laparotomie, sans rsection intestinale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D158"
MAIN dividing
	ACTS_ON bridle
		HAS_LOCATION small intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON occlusion
WITHOUT_ACTION resecting
	ACTS_ON segment
		IS_PART_OF intestine

RUBRIC "Libration de l'intestin grle pour occlusion, par section de bride(s) sous coelioscopie, sans rsection intestinale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D159"
MAIN dividing
	ACTS_ON bridle
		HAS_LOCATION small intestine
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON occlusion
WITHOUT_ACTION resecting
	ACTS_ON segment
		IS_PART_OF intestine

RUBRIC "Entrolyse tendue pour occlusion aigu de l'intestin grle,  par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D160"
MAIN freeing
	ACTS_ON small intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT extended
MOTIVATED_OVERALL_BY curing
	ACTS_ON occlusion

RUBRIC "Entrotomie isole pour exploration, hmostase, ablation de corps tranger(s), ou exrse(s) de tumeur(s)... par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D162"
MAIN incising
	ACTS_ON small intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	TO_ACHIEVE surgical deed
		ACTS_ON small intestine

RUBRIC "Entrostomie isole [jjunostomie] [ilostomie] par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D161"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 jejunum
		CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Confection secondaire isole d'une ilostomie continente de Koch, par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D163"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin
	HAS_APPROACH open
	HAS_TEMPORAL_MARKER secondary

RUBRIC "Mise en place isole d'une sonde de jjunostomie d'alimentation, par laparotomie, quelle que soit la technique ()"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D165"
MAIN installing
	ACTS_ON catheter
		HAS_LOCATION stoma
			CONNECTS_1 jejunum
			CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	TO_ACHIEVE feeding
		ACTS_ON patient

RUBRIC "Rsection segmentaire de l'intestin grle avec rtablissement de la continuit en dehors de l'occlusion par laparotomie."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D166"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF small intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 small intestine
		CONNECTS_2 small intestine

RUBRIC "Rsection segmentaire de l'intestin grle sans rtablissement de la continuit en dehors de l'occlusion par laparotomie."
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D167"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF small intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 small intestine
		CONNECTS_2 small intestine

RUBRIC "Rsection totale de l'intestin grle avec ou sans anastomose, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D169"
MAIN resecting
	ACTS_ON small intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 duodenum
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN resecting
	ACTS_ON small intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 duodenum
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Rsection de l'angle duodno-jjunal avec rtablissement de la continuit, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D170"
MAIN resecting
	ACTS_ON duodenojejunal flexure
	ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 duodenum
		CONNECTS_2 jejunum

RUBRIC "Rsection isole d'un diverticule de Meckel sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D172"
MAIN resecting
	ACTS_ON diverticulum ilei verum
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Cration d'une entro-entrostomie de drivation duodno-jjunale, jjuno-jjunale, ilo-ilale ou jjuno-ilale isole, sans exrse de l'intestin grle, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D173"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 duodenum
		CONNECTS_2 jejunum
	ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
WITHOUT_ACTION excising
	ACTS_ON small intestine
OR_MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 jejunum
		CONNECTS_2 jejunum
	ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
WITHOUT_ACTION excising
	ACTS_ON small intestine
OR_MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ileum
		CONNECTS_2 jejunum
	ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
WITHOUT_ACTION excising
	ACTS_ON small intestine
OR_MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ileum
		CONNECTS_2 ileum
	ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
WITHOUT_ACTION excising
	ACTS_ON small intestine

RUBRIC "Court-circuit [By-pass] bilio-pancratique ou intestinal pour obsit morbide, par laparotomie, y compris la gastrectomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D174"
MAIN unshunting
	ACTS_ON biliary tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON obesity
WITH excising
	ACTS_ON stomach
OR_MAIN unshunting
	ACTS_ON small intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON obesity
WITH excising
	ACTS_ON stomach

RUBRIC "Plastie(s) d'largissement de l'intestin grle, unique ou multiple, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D175"
MAIN enlarging
	ACTS_ON small intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_TECHNIQUE plastic constructing
		ACTS_ON small intestine

RUBRIC "Suture d'une ou plusieurs plaie(s) ou perforation(s) de l'intestin grle, y compris la toilette pritonale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D176"
MAIN suturing
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH washing
	ACTS_ON peritoneal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Colotomie isole  pour exploration, hmostase, ablation de corps tranger(s), ou exrse(s) de tumeur(s)... par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D177"
MAIN incising
	ACTS_ON colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	TO_ACHIEVE surgical deed
		ACTS_ON colon

RUBRIC "Colotomie isole pour exploration, hmostase, ablation de corps tranger(s), ou exrse(s) de tumeur(s)... sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D178"
MAIN incising
	ACTS_ON colon
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	TO_ACHIEVE surgical deed
		ACTS_ON colon
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Colostomie isole"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D179"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin

RUBRIC "Fermeture isole d'une colostomie latrale, par abord direct, y compris la fermeture d'une colostomie latrale terminalise en canon de fusil [Bouilly Volkman...]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D180"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 part
			HAS_POSITION lateral
			IS_PART_OF colon
		CONNECTS_2 skin
	HAS_APPROACH open
OR_MAIN closing
	ACTS_ON stoma
		CONNECTS_1 part
			HAS_POSITION medial
			IS_PART_OF colon
		CONNECTS_2 skin
	HAS_APPROACH open

RUBRIC "Rfection d'une colostomie et de la paroi abdominale, pour prolapsus de colostomie et/ou  ventration pristomiale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D181"
MAIN plastic repairing
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON prolapse / incisional hernia
		HAS_LOCATION stoma
WITH plastic repairing
	ACTS_ON abdominal wall

RUBRIC "Plastie d'largissement d'une stnose de colostomie par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D182"
MAIN enlarging
	ACTS_ON stenosis
		HAS_LOCATION stoma
			CONNECTS_1 colon
			CONNECTS_2 skin
	BY_TECHNIQUE plastic repairing
		ACTS_ON stoma
	HAS_APPROACH open

RUBRIC "Colectomie droite avec anastomose ilo-colique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D183"
MAIN excising
	ACTS_ON right colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ileum
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Colectomie droite avec anastomose ilo-colique, sous vido-assistance"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D184"
MAIN excising
	ACTS_ON right colon
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ileum
		CONNECTS_2 colon
	WITH_GUIDANCE_BY camera device

RUBRIC "Gastroplastie pour obsit morbide, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D143"
MAIN narrowing
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON obesity

RUBRIC "Gastroplastie pour obsit morbide, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D144"
MAIN narrowing
	ACTS_ON stomach
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON obesity

RUBRIC "Colectomie gauche ou rsection colo-rectale ne dpassant pas le cul-de-sac de Douglas, avec abaissement de l'angle gauche, avec rtablissement immdiat de la continuit, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D186"
MAIN excising
	ACTS_ON left colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 transverse colon
		CONNECTS_2 rectum
WITH transposing
	ACTS_ON left flexure of colon
OR_MAIN resecting
	ACTS_ON_1 left colon
	ACTS_ON_2 part
		HAS_POSITION proximal
		IS_PART_OF rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 transverse colon
		CONNECTS_2 rectum
		CONNECTS_2 part
			HAS_POSITION distal
			IS_PART_OF rectum
WITH transposing
	ACTS_ON left flexure of colon

RUBRIC "Colectomie gauche ou rsection colo-rectale ne dpassant pas le cul-de-sac de Douglas, sans abaissement de l'angle gauche, avec rtablissement immdiat de la continuit, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D185"
MAIN excising
	ACTS_ON left colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 transverse colon
		CONNECTS_2 rectum
WITHOUT_ACTION transposing
	ACTS_ON left flexure of colon
OR_MAIN resecting
	ACTS_ON_1 left colon
	ACTS_ON_2 part
		HAS_POSITION proximal
		IS_PART_OF rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 transverse colon
		CONNECTS_2 rectum
		CONNECTS_2 part
			HAS_POSITION distal
			IS_PART_OF rectum
WITHOUT_ACTION transposing
	ACTS_ON left flexure of colon

RUBRIC "Colectomie gauche ou rsection colo-rectale ne dpassant pas le cul-de-sac de Douglas, vido-assiste sans abaissement de l'angle gauche, avec rtablissement immdiat de la continuit, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D187"
MAIN excising
	ACTS_ON left colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 transverse colon
		CONNECTS_2 rectum
WITHOUT_ACTION transposing
	ACTS_ON left flexure of colon
OR_MAIN resecting
	ACTS_ON_1 left colon
	ACTS_ON_2 part
		HAS_POSITION proximal
		IS_PART_OF rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 transverse colon
		CONNECTS_2 rectum
		CONNECTS_2 part
			HAS_POSITION distal
			IS_PART_OF rectum
WITHOUT_ACTION transposing
	ACTS_ON left flexure of colon

RUBRIC "Colectomie gauche ou rsection colo-rectale ne dpassant pas le cul-de-sac de Douglas, vido assiste avec abaissement de l'angle gauche, avec rtablissement immdiat de la continuit, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D188"
MAIN excising
	ACTS_ON left colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 transverse colon
		CONNECTS_2 rectum
WITH transposing
	ACTS_ON left flexure of colon
OR_MAIN resecting
	ACTS_ON_1 left colon
	ACTS_ON_2 part
		HAS_POSITION proximal
		IS_PART_OF rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 transverse colon
		CONNECTS_2 rectum
		CONNECTS_2 part
			HAS_POSITION distal
			IS_PART_OF rectum
WITH transposing
	ACTS_ON left flexure of colon

RUBRIC "Colectomie gauche ou rsection colo-rectale ne dpassant pas le cul-de-sac de Douglas, sans abaissement de l'angle gauche, sans rtablissement de la continuit, par laparotomie y compris la colostomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D189"
MAIN excising
	ACTS_ON left colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITHOUT_ACTION transposing
	ACTS_ON left flexure of colon
OR_MAIN resecting
	ACTS_ON_1 left colon
	ACTS_ON_2 part
		HAS_POSITION proximal
		IS_PART_OF rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITHOUT_ACTION transposing
	ACTS_ON left flexure of colon

RUBRIC "Colectomie gauche ou rsection colo-rectale ne dpassant pas le cul-de-sac de Douglas, avec abaissement de l'angle gauche, sans rtablissement de la continuit, par laparotomie y compris la colostomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D190"
MAIN excising
	ACTS_ON left colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH transposing
	ACTS_ON left flexure of colon
OR_MAIN resecting
	ACTS_ON_1 left colon
	ACTS_ON_2 part
		HAS_POSITION proximal
		IS_PART_OF rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH transposing
	ACTS_ON left flexure of colon

RUBRIC "Rtablissement secondaire de la continuit digestive, par laparotomie, aprs colectomie sans rtablissement de la continuit,  l'exclusion de la fermeture d'une colostomie latrale terminalise [type Bouilly-Volkman...]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D201"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 digestive tract
		CONNECTS_2 digestive tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_TEMPORAL_MARKER secondary
MOTIVATED_OVERALL_BY creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
	HAS_TEMPORAL_MARKER earlierMarker
	OCCURS_DURING excising
		ACTS_ON colon
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stoma
		CONNECTS_2 digestive tract

RUBRIC "Rtablissement secondaire de la continuit digestive, sous coelioscopie , aprs colectomie sans rtablissement de la continuit,  l'exclusion de la fermeture d'une colostomie latrale terminalise [type Bouilly-Volkman...]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D202"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 digestive tract
		CONNECTS_2 digestive tract
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_TEMPORAL_MARKER secondary
	WITH_GUIDANCE_BY laparoscope
MOTIVATED_OVERALL_BY creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
	HAS_TEMPORAL_MARKER earlierMarker
	OCCURS_DURING excising
		ACTS_ON colon
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stoma
		CONNECTS_2 digestive tract

RUBRIC "Cration d'une anastomose colo-colique isole, de drivation, sans exrse colique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D203"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 colon
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION excising
	ACTS_ON colon

RUBRIC "Cration d'une anastomose ilo-colique isole, de drivation, sans exrse colique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19981231,rodrigues,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D204"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ileum
		CONNECTS_2 colon
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION excising
	ACTS_ON colon

RUBRIC "Dilatation anale isole"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D275"
MAIN dilatating
	ACTS_ON anus

RUBRIC "Rparation sphinctrienne directe pour incontinence anale sans plastie cutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D261"
MAIN repairing
	ACTS_ON anal sphincter
	MOTIVATED_BY curing
		ACTS_ON incontinence
			HAS_LOCATION anal sphincter
WITHOUT_ACTION plastic surgery
	ACTS_ON skin

RUBRIC "Excision d'une fissure anale [Fissurectomie anale]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D255"
MAIN excising
	ACTS_ON anal fissure

RUBRIC "Rsection d'un paquet hmorrodaire isol"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D242"
MAIN resecting
	ACTS_ON hemorrhoid

RUBRIC "Rectopexie par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D222"
MAIN fixing
	ACTS_ON rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Ablation d'un moignon rectal rsiduel par voie prinale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D213"
MAIN removing
	ACTS_ON stump
		IS_PART_OF rectum
	HAS_APPROACH perineal approach

RUBRIC "Suture d'une plaie ou d'une perforation colique, sous coelioscopie, y compris la toilette pritonale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D206"
MAIN suturing
	ACTS_ON wound
		HAS_LOCATION colon
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
WITH washing
	ACTS_ON peritoneal cavity
OR_MAIN suturing
	ACTS_ON hole
		HAS_LOCATION colon
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
WITH washing
	ACTS_ON peritoneal cavity

RUBRIC "Rsection recto-sigmodienne et anastomose colo-rectale sous pritonale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D207"
MAIN resecting
	ACTS_ON_1 sigmoid colon
	ACTS_ON_2 part
		HAS_POSITION upper
		IS_PART_OF rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 colon
		CONNECTS_2 rectum
		IS_PART_OF retroperitoneal space

RUBRIC "Rsection recto-sigmodienne et anastomose colo-rectale sous pritonale ,vido-assiste"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990111,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D208"
MAIN resecting
	ACTS_ON_1 sigmoid colon
	ACTS_ON_2 part
		HAS_POSITION upper
		IS_PART_OF rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 colon
		CONNECTS_2 rectum
		IS_PART_OF retroperitoneal space

RUBRIC "Rsection recto-sigmodienne dpassant le cul-de-sac de Douglas, sans rtablissement de la continuit, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D209"
MAIN resecting
	ACTS_ON rectosigmoid
	ACTS_ON_1 sigmoid colon
	ACTS_ON_2 part
		IS_PART_OF rectum
		IS_PART_OF infra peritoneal space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure

RUBRIC "Rsection recto-sigmodienne vido-assiste, et anastomose colo-anale par voie transanale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D210"
MAIN resecting
	ACTS_ON_1 sigmoid colon
	ACTS_ON_2 rectum
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 colon
		CONNECTS_2 anus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON anal canal

RUBRIC "Rsection recto-sigmodienne par laparotomie, et anastomose colo-anale par voie transanale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D211"
MAIN resecting
	ACTS_ON_1 sigmoid colon
	ACTS_ON_2 rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 colon
		CONNECTS_2 anus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON anal canal

RUBRIC "Rsection recto-sigmodienne et anastomose colo-anale, par voies combines abdominale et trans-sphinctrienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D212"
MAIN resecting
	ACTS_ON_1 sigmoid colon
	ACTS_ON_2 rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON anal sphincter
	HAS_APPROACH abdominal approach
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 colon
		CONNECTS_2 anus

RUBRIC "Proctectomie et anastomose ilo-anale secondaires, par voies combines abdominale et transanale, aprs colectomie totale initiale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D217"
MAIN excising
	ACTS_ON rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall & anal canal
	FOLLOWS excising
		ACTS_ON colon
		HAS_EXTENT total
		HAS_TEMPORAL_MARKER primary
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ileum
		CONNECTS_2 anus

RUBRIC "Pelvectomie postrieure avec amputation du rectum, chez la femme, par voie abdomino-prinale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D218"
MAIN excising
	ACTS_ON part
		HAS_POSITION posterior
		IS_PART_OF pelvis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall & perineum
HAS_PATIENT woman
WITH excising
	ACTS_ON rectum
	HAS_EXTENT total

RUBRIC "Amputation du rectum, par voies combines abdominale et prinale, y compris la colostomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D214"
MAIN excising
	ACTS_ON rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall & perineum
	HAS_EXTENT total
WITH creating
	ACTS_ON colostomy
	ACTS_ON stoma
		CONNECTS_1 skin
		CONNECTS_2 colon

RUBRIC "Amputation du rectum, par voies combines abdominale et prinale sous vido-assistance, y compris la colostomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990112,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D215"
MAIN excising
	ACTS_ON rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall & perineum
	HAS_EXTENT total
	WITH_GUIDANCE_BY camera device
WITH creating
	ACTS_ON stoma
		CONNECTS_1 skin
		CONNECTS_2 colon

RUBRIC "Amputation du rectum, par voie prinale, y compris la colostomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990112,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D216"
MAIN excising
	ACTS_ON rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON perineum
	HAS_EXTENT total
WITH creating
	ACTS_ON stoma
		CONNECTS_1 skin
		CONNECTS_2 colon

RUBRIC "Pelvectomie totale avec uretrostomies cutanes, y compris la colostomie, par voie abdomino-prinale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D219"
MAIN excising
	ACTS_ON pelvis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall & perineum
	HAS_EXTENT total
WITH creating
	ACTS_ON stoma
		CONNECTS_1 ureter
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin

RUBRIC "Pelvectomie totale avec uretrostomies cutanes, y compris la colostomie, par voie abdomino-prinale ,par deux ou trois quipes de disciplines diffrentes"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990112,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D220"
MAIN excising
	ACTS_ON pelvis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall & perineum
	HAS_EXTENT total
WITH creating
	ACTS_ON stoma
		CONNECTS_1 ureter
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin

RUBRIC "Rectopexie sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D223"
MAIN fixing
	ACTS_ON rectum
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Fermeture [Cure] d'une fistule recto-vaginale acquise par voie prinale par reconstitution de la paroi antrieure ano-rectale, reconstitution de la paroi postrieure vaginale et suture musculaire : deuxime temps de la  technique de Musset"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D224"
MAIN closing
	ACTS_ON recto vaginal fistula
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON perineum
	BY_TECHNIQUE plastic constructing
		ACTS_ON anterior wall
			IS_PART_OF anus & rectum
	BY_TECHNIQUE plastic constructing
		ACTS_ON posterior wall
			IS_PART_OF vagina
	BY_TECHNIQUE suturing
		ACTS_ON muscle (striated)

RUBRIC "Mise  plat d'une fistule recto-vaginale acquise par prinotomie mdiane et sagittale : premier temps de la technique de Musset"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019990104,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D225"
MAIN opening
	ACTS_ON recto vaginal fistula
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON part
			HAS_POSITION medial
			IS_PART_OF perineum
		HAS_EXTENT sagittal

RUBRIC "Fermeture [Cure] en un temps, d'une fistule recto-vaginale acquise , par voie basse  (abord vaginal et rectal), quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D226"
MAIN closing
	ACTS_ON recto vaginal fistula
	HAS_ROUTE vagina & rectum

RUBRIC "Drainage prolong en ston, d'une fistule recto-vaginale acquise"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D227"
MAIN draining
	ACTS_ON recto vaginal fistula
	BY_MEANS_OF mesh

RUBRIC "Biopsie de la musculeuse rectale par voie endo-anale [voie transanale non endoscopique]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D228"
MAIN biopsying
	ACTS_ON_1 muscular layer
		IS_PART_OF rectum
	HAS_ROUTE anal canal

RUBRIC "Rsection colo-rectale avec abaissement colique rtro-rectal par voies combines abdominale et transanale [Opration de Duhamel]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D229"
MAIN resecting
	ACTS_ON_1 colon
	ACTS_ON_2 rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall & anal canal
	BY_TECHNIQUE moving
		ACTS_ON colon
			HAS_DESTINATION part
				HAS_POSITION posterior
				IS_PART_OF rectum

RUBRIC "Exrse d'une tumeur rectale par voie prinale trans-sphinctrienne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D231"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON perineum & anal sphincter

RUBRIC "Exrse d'une tumeur rectale par voie transanale (lambeau tracteur, technique du "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D232"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON anal canal

RUBRIC "Excision simple et/ou lectro-coagulation d'une tumeur rectale par voie transanale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D233"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON anal canal
OR_MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON anal canal
	BY_MEANS_OF electrocoagulation equipment

RUBRIC "Suture d'une plaie ou d'une perforation rectale intrapritonale, par laparotomie, y compris la toilette pritonale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D234"
MAIN suturing
	ACTS_ON wound
		HAS_LOCATION rectum
			IS_CONTAINED_IN peritoneal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH washing
	ACTS_ON peritoneal cavity
OR_MAIN suturing
	ACTS_ON hole
		HAS_LOCATION rectum
			IS_CONTAINED_IN peritoneal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH washing
	ACTS_ON peritoneal cavity

RUBRIC "Suture d'une plaie ou d'une perforation rectale intrapritonale, sous coelioscopie, y compris la toilette pritonale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D235"
MAIN suturing
	ACTS_ON wound
		HAS_LOCATION rectum
			IS_CONTAINED_IN peritoneal cavity
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH washing
	ACTS_ON peritoneal cavity
OR_MAIN suturing
	ACTS_ON hole
		HAS_LOCATION rectum
			IS_CONTAINED_IN peritoneal cavity
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH washing
	ACTS_ON peritoneal cavity

RUBRIC "Extraction d'un ou de plusieurs corps tranger(s) intra-rectal(aux) ou d'un fcalome ncessitant une dilatation anale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D236"
MAIN extracting
	ACTS_ON foreign body
		IS_CONTAINED_IN rectum
	BY_TECHNIQUE dilatating
		ACTS_ON anus
OR_MAIN extracting
	ACTS_ON fecaloma
		IS_CONTAINED_IN rectum
	BY_TECHNIQUE dilatating
		ACTS_ON anus

RUBRIC "Sance de traitement instrumental des hmorrodes par injections sclrosantes"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D237"
MAIN injecting
	ACTS_ON sclerosing agent
		HAS_DESTINATION hemorrhoid
	BY_MEANS_OF device

RUBRIC "Sance de traitement instrumental des hmorrodes par ligature lastique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D238"
MAIN ligating
	ACTS_ON hemorrhoid
	BY_MEANS_OF device

RUBRIC "Sance de traitement instrumental des hmorrodes par procd physique avec ou sans ligature"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D239"
MAIN curing
	ACTS_ON hemorrhoid
	BY_MEANS_OF physical process device
WITHOUT_ACTION ligating
	ACTS_ON hemorrhoid
OR_MAIN curing
	ACTS_ON hemorrhoid
	BY_MEANS_OF physical process device
WITH ligating
	ACTS_ON hemorrhoid

RUBRIC "Incision d'une thrombose hmorrodaire externe"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D240"
MAIN incising
	ACTS_ON thrombus
		HAS_LOCATION hemorrhoid

RUBRIC "Excision d'une thrombose hmorrodaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D241"
MAIN excising
	ACTS_ON thrombus
		HAS_LOCATION hemorrhoid

RUBRIC "Hmorrodectomie pdiculaire par rsection sous-muqueuse [Opration de Milligan et Morgan], avec ou sans sphinctrotomie interne [lomyotomie]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D243"
MAIN excising
	ACTS_ON pedicle hemorrhoid
	BY_TECHNIQUE resecting
		ACTS_ON muscular layer
			IS_PART_OF anal canal
WITH_OPTIONALLY incising
	ACTS_ON muscle (smooth)
		IS_PART_OF anal sphincter

RUBRIC "Hmorrodectomie pdiculaire par rsection sous-muqueuse [Opration de Milligan et Morgan], avec ou sans sphinctrotomie interne [lomyotomie] , avec ou sans excision de fissure anale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990113,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D244"
MAIN excising
	ACTS_ON pedicle hemorrhoid
	BY_TECHNIQUE resecting
		ACTS_ON muscular layer
			IS_PART_OF anal canal
WITH_OPTIONALLY incising
	ACTS_ON muscle (smooth)
		IS_PART_OF anal sphincter
WITH_OPTIONALLY excising
	ACTS_ON anal fissure

RUBRIC "Hmorrodectomie pdiculaire semi-ferme [technique de Parks ou avec talement des ponts] ou ferme [technique de Ferguson], avec ou sans anoplastie muqueuse"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D245"
MAIN excising
	ACTS_ON pedicle hemorrhoid
	HAS_APPROACH open
WITH_OPTIONALLY plastic repairing
	ACTS_ON mucosa
		IS_PART_OF anal canal
OR_MAIN excising
	ACTS_ON pedicle hemorrhoid
	HAS_APPROACH closed
WITH_OPTIONALLY plastic repairing
	ACTS_ON mucosa
		IS_PART_OF anal canal

RUBRIC "Cholcystostomie sous contrle chographique, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D311"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 gallbladder
		CONNECTS_2 abdominal skin
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ultrasound machine

RUBRIC "Mise en place d'un drain biliaire interne par choldocotomie, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D309"
MAIN installing
	ACTS_ON drain
		HAS_LOCATION biliary tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON choledochus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Mise en place d'un drain biliaire interne par choldocotomie, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D308"
MAIN installing
	ACTS_ON drain
		HAS_LOCATION biliary tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON choledochus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose entre une des branches du systme porte, autre que la veine splnique ou la veine msentrique, et le systme cave infrieur"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D385"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 vein
			IS_BRANCH_OF portal vein
		CONNECTS_2 inferior vena cava
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 splenic vein
		CONNECTS_2 inferior vena cava
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 mesenteric vein
		CONNECTS_2 inferior vena cava

RUBRIC "Cration d'une anastomose atrio-msentrique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D383"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 atrium dextrum
		CONNECTS_2 mesenteric vein

RUBRIC "Cration d'une anastomose splno-rnale distale slective [opration de Warren], par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D382"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 splenic vein
		CONNECTS_2 renal vein
		HAS_POSITION distal
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose msentrico-cave par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D379"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 mesenteric vein
		CONNECTS_2 vena cava
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose porto-cave tronculaire, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D378"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 portal vein
		CONNECTS_2 vena cava
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Splnectomie partielle, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D372"
MAIN excising
	ACTS_ON spleen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT partial

RUBRIC "Transplantation de foie total"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D365"
MAIN transplanting
	ACTS_ON liver
	HAS_EXTENT total

RUBRIC "Transplantation de foie rduit"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D364"
MAIN transplanting
	ACTS_ON liver
	HAS_EXTENT partial

RUBRIC "Rsection du segment I du foie [lobe de Spiegel], par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D348"
MAIN resecting
	ACTS_ON spigelian lobe
		IS_PART_OF liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Lobectomie hpatique gauche sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D347"
MAIN excising
	ACTS_ON lobe
		HAS_LATERALITY left
		IS_PART_OF liver
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Lobectomie hpatique gauche par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D346"
MAIN excising
	ACTS_ON lobe
		HAS_LATERALITY left
		IS_PART_OF liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Lobectomie hpatique droite [hpatectomie droite largie], par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D345"
MAIN excising
	ACTS_ON lobe
		HAS_LATERALITY right
		IS_PART_OF liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Hpatectomie gauche largie au lobe de Spiegel, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D344"
MAIN excising
	ACTS_ON_1 liver
		HAS_LATERALITY left
	ACTS_ON_2 spigelian lobe
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Hpatectomie gauche, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D343"
MAIN excising
	ACTS_ON liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_LATERALITY left

RUBRIC "Hpatectomie droite, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D341"
MAIN excising
	ACTS_ON liver
		HAS_LATERALITY right
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Hpatectomie droite largie au lobe de Spiegel, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D342"
MAIN excising
	ACTS_ON_1 liver
		HAS_LATERALITY right
	ACTS_ON_2 spigelian lobe
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Ncrosectomie pancratique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D335"
MAIN excising
	ACTS_ON necrosis
		HAS_LOCATION pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Evacuation et drainage externe d'une collection pancratique sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D332"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION pancreas
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH draining
	ACTS_ON abscess
		HAS_LOCATION pancreas
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Evacuation et drainage externe d'une collection pancratique par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D331"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH draining
	ACTS_ON abscess
		HAS_LOCATION pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Transplantation pancratique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D327"
MAIN transplanting
	ACTS_ON pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose entre un faux-kyste pancratique et le duodnum, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D326"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 cyst
			HAS_LOCATION pancreas
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose entre un faux-kyste pancratique et le jjunum, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D325"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 cyst
			HAS_LOCATION pancreas
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose entre un faux-kyste pancratique et l'estomac, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D324"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 cyst
			HAS_LOCATION pancreas
		CONNECTS_2 stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration isole d'une anastomose entre le jjunum et le canal de Wirsung, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D322"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 jejunum
		CONNECTS_2 pancreatic duct
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Splno-pancratectomie presque totale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D319"
MAIN excising
	ACTS_ON_1 spleen
	ACTS_ON_2 pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT subtotal

RUBRIC "Cholcystostomie par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D310"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 gallbladder
		CONNECTS_2 abdominal skin
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose entre la vsicule biliaire et le jjunum, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D301"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 gallbladder
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose entre d'une part la vsicule biliaire, et d'autre part le duodnum ou l'estomac, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D297"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 gallbladder
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 gallbladder
		CONNECTS_2 stomach
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Cration d'une anastomose entre d'une part la vsicule biliaire, et d'autre part le duodnum ou l'estomac, avec gastroentrostomie, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D296"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 gallbladder
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 gallbladder
		CONNECTS_2 stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose entre d'une part la vsicule biliaire, et d'autre part le duodnum ou l'estomac, sans gastro-entrostomie, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D295"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 gallbladder
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 intestine
OR_MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 gallbladder
		CONNECTS_2 stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 intestine

RUBRIC "Cholcystectomie sous coelioscopie, avec choldocotomie par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D292"
MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH incising
	ACTS_ON choledochus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cholcystectomie avec choldocotomie, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D285"
MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH incising
	ACTS_ON choledochus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cholcystectomie isole, sans choldocotomie, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D282"
MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION incising
	ACTS_ON choledochus

RUBRIC "Cholcystectomie avec choldocotomie, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D286"
MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH incising
	ACTS_ON choledochus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Ampullectomie avec anastomoses du choldoque et du wirsung au duodnum, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D330"
MAIN excising
	ACTS_ON hepatopancreatic ampulla
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 choledochus
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 pancreatic duct
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Incision d'un abcs anal avec ou sans drainage"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D246"
MAIN incising
	ACTS_ON abscess
		HAS_LOCATION anus
WITH draining
	ACTS_ON abscess
		HAS_LOCATION anus
OR_MAIN incising
	ACTS_ON abscess
		HAS_LOCATION anus
WITHOUT_ACTION draining
	ACTS_ON abscess
		HAS_LOCATION anus

RUBRIC "Mise  plat en un temps des abcs et fistules anaux bas trans-sphinctriens infrieurs, par fistulotomie(s) ou fistulectomie(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D247"
MAIN excising
	ACTS_ON abscess & fistula
		HAS_LOCATION part
			HAS_POSITION lower
			IS_PART_OF anal sphincter
OR_MAIN incising
	ACTS_ON abscess & fistula
		HAS_LOCATION part
			HAS_POSITION lower
			IS_PART_OF anal sphincter

RUBRIC "Dissection-exrse avec anse de drainage souple par fil des abcs et fistules anaux hauts trans-sphinctriens suprieurs et/ou supra-sphinctriens ou  trajets complexes multiramifis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D248"
MAIN excising
	ACTS_ON abscess & fistula
		HAS_LOCATION part
			HAS_POSITION upper
			IS_PART_OF anal sphincter
WITH draining
	ACTS_ON abscess & fistula
	BY_MEANS_OF thread
OR_MAIN excising
	ACTS_ON abscess & fistula
		HAS_LOCATION part
			HAS_POSITION upper
			IS_PART_OF anal canal
WITH draining
	ACTS_ON abscess & fistula
	BY_MEANS_OF thread
OR_MAIN excising
	ACTS_ON abscess & fistula
		HAS_LOCATION part
			IS_PART_OF anal region
WITH draining
	ACTS_ON abscess & fistula
	BY_MEANS_OF thread

RUBRIC "Mise  plat des abcs et fistules anaux inter-sphinctriens hauts [intra-muraux] et/ou supra-sphinctriens"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019990104,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D249"
MAIN opening
	ACTS_ON abscess & fistula
		HAS_LOCATION part
			HAS_POSITION deep
			IS_PART_OF wall
				IS_PART_OF anal sphincter
OR_MAIN opening
	ACTS_ON abscess & fistula
		HAS_LOCATION part
			HAS_POSITION upper
			IS_PART_OF wall
				IS_PART_OF anal canal

RUBRIC "Mise  plat  avec anse de drainage souple par fil des abcs et fistules anaux hauts trans-sphinctriens suprieurs ou  trajets complexes multiramifis :premier temps quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D250"
MAIN opening
	ACTS_ON abscess & fistula
		HAS_LOCATION part
			HAS_POSITION upper
			IS_PART_OF anal sphincter
	HAS_TEMPORAL_MARKER primary
WITH draining
	ACTS_ON abscess & fistula
	BY_MEANS_OF thread
OR_MAIN opening
	ACTS_ON abscess & fistula
		HAS_LOCATION part
			IS_PART_OF anal region
	HAS_TEMPORAL_MARKER primary
WITH draining
	ACTS_ON abscess & fistula
	BY_MEANS_OF thread

RUBRIC "Mise  plat  avec anse de drainage souple par fil des abcs et fistules anaux hauts trans-sphinctriens suprieurs ou  trajets complexes multiramifis :temps ultrieurs quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D251"
MAIN opening
	ACTS_ON abscess & fistula
		HAS_LOCATION part
			HAS_POSITION upper
			IS_PART_OF anal sphincter
	HAS_TEMPORAL_MARKER secondary
WITH draining
	ACTS_ON abscess & fistula
	BY_MEANS_OF thread
OR_MAIN opening
	ACTS_ON abscess & fistula
		HAS_LOCATION part
			IS_PART_OF anal region
	HAS_TEMPORAL_MARKER secondary
WITH draining
	ACTS_ON abscess & fistula
	BY_MEANS_OF thread

RUBRIC "Mise  plat d' une fistule anale basse trans-sphinctriens infrieure, avec resection d'un paquet hmorrodaire isol"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D252"
MAIN opening
	ACTS_ON fistula
		HAS_LOCATION part
			HAS_POSITION lower
			IS_PART_OF anal sphincter
WITH resecting
	ACTS_ON hemorrhoid

RUBRIC "Mise  plat d' une fistule anale basse trans-sphinctriens infrieure, avec hmorrodectomie pdiculaire par rsection sous muqueuse ( opration de Milligan et Morgan)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D253"
MAIN opening
	ACTS_ON fistula
		HAS_LOCATION part
			HAS_POSITION lower
			IS_PART_OF anal sphincter
WITH excising
	ACTS_ON pedicle hemorrhoid
	BY_TECHNIQUE resecting
		ACTS_ON muscular layer
			IS_PART_OF anal canal

RUBRIC "Sance de traitement instrumental d'une fissure anale par injection(s) sous fissuraire(s) et/ou intra-sphinctrienne(s)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D254"
MAIN injecting
	ACTS_ON sclerosing agent
		HAS_DESTINATION anal margin
MOTIVATED_OVERALL_BY curing
	ACTS_ON anal fissure
OR_MAIN injecting
	ACTS_ON sclerosing agent
		HAS_DESTINATION anal sphincter
MOTIVATED_OVERALL_BY curing
	ACTS_ON anal fissure

RUBRIC "Rsection d'une fissure anale infecte"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D256"
MAIN resecting
	ACTS_ON anal fissure
MOTIVATED_OVERALL_BY curing
	ACTS_ON anal fissure & infection

RUBRIC "Exrse ganglionnaire mdiastinale par sternotomie ()"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D430"
MAIN excising
	ACTS_ON mediastinal lymph node
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum

RUBRIC "Exploration de tous les sites parathyrodiens cervicaux, avec ou sans exrse parathyrodienne, par vido-chirurgie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D412"
MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE surgical deed
	HAS_NUMBER all
	WITH_GUIDANCE_BY camera device
WITH excising
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE surgical deed
	WITH_GUIDANCE_BY camera device
OR_MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE surgical deed
	HAS_NUMBER all
	WITH_GUIDANCE_BY camera device
WITHOUT_ACTION excising
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck

RUBRIC "Exploration de tous les sites parathyrodiens cervicaux, avec ou sans exrse parathyrodienne, par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:37 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D411"
MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_NUMBER all
WITH excising
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
OR_MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_NUMBER all
WITHOUT_ACTION excising
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck

RUBRIC "Totalisation de thyrodectomie aprs thyrodectomie subtotale par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:39 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D410"
MAIN excising
	ACTS_ON thyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	FOLLOWS excising
		ACTS_ON thyroid gland
		HAS_EXTENT subtotal
	HAS_EXTENT total

RUBRIC "Thyrodectomie totale par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D404"
MAIN excising
	ACTS_ON thyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total

RUBRIC "Lobectomie thyrodienne sub-totale bilatrale par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D403"
MAIN excising
	ACTS_ON lobe of thyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT subtotal
	HAS_LATERALITY bilateral

RUBRIC "Lobectomie thyrodienne totale avec lobectomie sub-totale contro-latrale par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D402"
MAIN excising
	ACTS_ON lobe of thyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
WITH excising
	ACTS_ON lobe of thyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT subtotal
	HAS_LATERALITY contralateral

RUBRIC "Lobo-isthmectomie thyrodienne totale par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D401"
MAIN excising
	ACTS_ON_1 lobe of thyroid gland
	ACTS_ON_2 isthmus of thyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total

RUBRIC "Lobo-isthmectomie thyrodienne sub-totale par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D400"
MAIN excising
	ACTS_ON_1 lobe of thyroid gland
	ACTS_ON_2 isthmus of thyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT subtotal

RUBRIC "Isthmectomie thyrodienne par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D398"
MAIN excising
	ACTS_ON isthmus of thyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck

RUBRIC "Evacuation d'une collection ou d'un hmatome rtro-pritonal, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D395"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION retroperitoneal space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN evacuating
	ACTS_ON haematoma
		HAS_LOCATION retroperitoneal space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Exrse d'une tumeur rtro-pritonale non surrnalienne, par thoraco-phrno-laparotomie, y compris le curage ganglionnaire lombo-aortique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D394"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION retroperitoneal space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON diaphragm
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON lumbo-aortic lymph node
WITHOUT_ACTION excising
	ACTS_ON tumour
		HAS_LOCATION adrenal gland

RUBRIC "Sphinctrotomie interne [lomyotomie] latrale ouverte ou ferme"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D257"
MAIN incising
	ACTS_ON part
		HAS_POSITION lateral
		IS_PART_OF musculus sphincter ani internus

RUBRIC "Excision d'une fissure anale et/ou d'une stnose anale, avec anoplastie muqueuse, avec ou sans sphinctrotomie interne [lomyotomie]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D258"
MAIN excising
	ACTS_ON anal fissure
WITH plastic repairing
	ACTS_ON anus
WITH incising
	ACTS_ON musculus sphincter ani internus
OR_MAIN excising
	ACTS_ON anal fissure
WITH plastic repairing
	ACTS_ON anus
WITHOUT_ACTION incising
	ACTS_ON musculus sphincter ani internus
OR_MAIN excising
	ACTS_ON stenosis
		HAS_LOCATION anus
WITH plastic repairing
	ACTS_ON anus
WITH incising
	ACTS_ON musculus sphincter ani internus
OR_MAIN excising
	ACTS_ON stenosis
		HAS_LOCATION anus
WITH plastic repairing
	ACTS_ON anus
WITHOUT_ACTION incising
	ACTS_ON musculus sphincter ani internus

RUBRIC "Excision d'une fissure anale avec anoplastie muqueuse, avec ou sans sphinctrotomie interne [leomyotomie], avec rsection d'un paquet hmorrodaire isol"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D259"
MAIN excising
	ACTS_ON anal fissure
WITH plastic repairing
	ACTS_ON mucosa
		IS_PART_OF anus
WITH incising
	ACTS_ON musculus sphincter ani internus
WITH resecting
	ACTS_ON hemorrhoid
OR_MAIN excising
	ACTS_ON anal fissure
WITH plastic repairing
	ACTS_ON mucosa
		IS_PART_OF anus
WITH resecting
	ACTS_ON hemorrhoid
WITHOUT_ACTION incising
	ACTS_ON musculus sphincter ani internus

RUBRIC "Excision d'une fissure anale et anoplastie muqueuse, avec ou sans sphinctrotomie interne [leomyotomie], associe  une hmorrodectomie pdiculaire par rsection sous-muqueuse [Type opration de Milligan et Morgan]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D260"
MAIN excising
	ACTS_ON anal fissure
WITH plastic repairing
	ACTS_ON mucosa
		IS_PART_OF anus
WITH incising
	ACTS_ON musculus sphincter ani internus
WITH excising
	ACTS_ON pedicle hemorrhoid
OR_MAIN excising
	ACTS_ON anal fissure
WITH plastic repairing
	ACTS_ON mucosa
		IS_PART_OF anus
WITH excising
	ACTS_ON pedicle hemorrhoid
WITHOUT_ACTION incising
	ACTS_ON musculus sphincter ani internus

RUBRIC "Rparation sphinctrienne directe pour incontinence anale par plastie cutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D262"
MAIN plastic repairing
	ACTS_ON anal sphincter
	BY_TECHNIQUE plastic repairing
		ACTS_ON skin
	MOTIVATED_BY curing
		ACTS_ON incontinence
			HAS_LOCATION anal sphincter

RUBRIC "Reconstruction du sphincter anal par transposition musculaire bilatrale [dont graciloplastie bilatrale...]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D263"
MAIN reconstruction
	ACTS_ON anal sphincter
	BY_TECHNIQUE transposing
		ACTS_ON muscle (striated)
		HAS_LATERALITY bilateral

RUBRIC "Reconstruction du sphincter anal par transposition musculaire unilatrale [dont graciloplastie unilatrale...]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D264"
MAIN reconstruction
	ACTS_ON anal sphincter
	BY_TECHNIQUE transposing
		ACTS_ON muscle (striated)
		HAS_LATERALITY bilateral

RUBRIC "Myorraphie antrieure des releveurs de l'anus"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D265"
MAIN suturing
	ACTS_ON levator ani muscle
	HAS_EXTENT anterior

RUBRIC "Myorraphie antrieure et postrieure des releveurs de l'anus, y compris la sphinctroplastie anale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D266"
MAIN suturing
	ACTS_ON levator ani muscle
	HAS_EXTENT anterior
WITH suturing
	ACTS_ON levator ani muscle
	HAS_EXTENT posterior
WITH plastic repairing
	ACTS_ON anal sphincter

RUBRIC "Myorraphie postrieure des releveurs de l'anus, y compris la sphinctroplastie anale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D267"
MAIN suturing
	ACTS_ON levator ani muscle
	HAS_EXTENT posterior
WITH plastic repairing
	ACTS_ON anal sphincter

RUBRIC "Plicature de la paroi antrieure du rectum par voie prinale, y compris la myorraphie des releveurs de l'anus"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D268"
MAIN plicating
	ACTS_ON anterior wall
		IS_PART_OF rectum
	HAS_APPROACH perineal approach
WITH suturing
	ACTS_ON levator ani muscle

RUBRIC "Rsection complte d'un prolapsus colo-rectal extrioris, avec anastomose colo-anale et myorraphie du plancher pelvien"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D269"
MAIN resecting
	ACTS_ON prolapse
		HAS_LOCATION colon & rectum
		HAS_LOCATION exterior of body
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 colon
		CONNECTS_2 anus
WITH suturing
	ACTS_ON floor
		IS_PART_OF pelvis

RUBRIC "Rsection circonfrentielle de la muqueuse rectale et plicature de la musculeuse [Opration de Delorme]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D270"
MAIN resecting
	ACTS_ON mucosa
		IS_PART_OF rectum
	HAS_EXTENT circular
WITH plicating
	ACTS_ON muscular layer
		IS_PART_OF rectum

RUBRIC "Rsection de la muqueuse rectale avec douglassectomie et plicature de la musculeuse par voie prinale"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D271"
MAIN resecting
	ACTS_ON mucosa
		IS_PART_OF rectum
	HAS_APPROACH perineal approach
WITH plicating
	ACTS_ON muscular layer
		IS_PART_OF rectum
WITH excising
	ACTS_ON rectouterine pouch
OR_MAIN resecting
	ACTS_ON mucosa
		IS_PART_OF rectum
	HAS_APPROACH perineal approach
WITH plicating
	ACTS_ON muscular layer
		IS_PART_OF rectum
WITH excising
	ACTS_ON rectovesical pouch

RUBRIC "Rsection de la muqueuse rectale avec plicature hmi-circonfrentielle antrieure de la musculeuse par voie endoanale (opration de Sullivan)"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D272"
MAIN resecting
	ACTS_ON mucosa
		IS_PART_OF rectum
	HAS_APPROACH anal canal
WITH plicating
	ACTS_ON muscular layer
		IS_PART_OF rectum
	HAS_EXTENT anterior

RUBRIC "Rsection de la muqueuse rectale et plicature hmi-circonfrentielle antrieure de la musculeuse par voie endoanale (opration de Sullivan) avec anoplastie muqueuse postrieure"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE "use"
CODE "D273"
MAIN resecting
	ACTS_ON mucosa
		IS_PART_OF rectum
	HAS_APPROACH anal canal
WITH plicating
	ACTS_ON muscular layer
		IS_PART_OF rectum
	HAS_EXTENT anterior
WITH plastic repairing
	ACTS_ON mucosa
		IS_PART_OF anus
	HAS_EXTENT posterior

RUBRIC "Rsection de la muqueuse rectale et plicature hmi-circonfrentielle antrieure de la musculeuse par voie endoanale (opration de Sullivan) avec hmorrodectomie pdiculaire"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE "use"
CODE "D274"
MAIN resecting
	ACTS_ON mucosa
		IS_PART_OF rectum
	HAS_APPROACH anal canal
WITH plicating
	ACTS_ON muscular layer
		IS_PART_OF rectum
	HAS_EXTENT anterior
WITH excising
	ACTS_ON pedicle hemorrhoid

RUBRIC "Excision simple et/ou lectro-coagulation de formations bnignes de la marge anale et/ou du canal anal (marisques, papilles anales hypertrophies, papillomatose anale...), par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D276"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION anal margin & anal canal
	HAS_APPROACH open
WITH destroying
	ACTS_ON benign tumour
		HAS_LOCATION anal margin & anal canal
	BY_MEANS_OF electrocoagulation equipment
	HAS_APPROACH open
OR_MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION anal margin & anal canal
	HAS_APPROACH open
OR_MAIN destroying
	ACTS_ON benign tumour
		HAS_LOCATION anal margin & anal canal
	BY_MEANS_OF electrocoagulation equipment
	HAS_APPROACH open
OR_MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION anal margin
	HAS_APPROACH open
WITH destroying
	ACTS_ON benign tumour
		HAS_LOCATION anal margin
	BY_MEANS_OF electrocoagulation equipment
	HAS_APPROACH open
OR_MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION anal margin
	HAS_APPROACH open
OR_MAIN destroying
	ACTS_ON benign tumour
		HAS_LOCATION anal margin
	BY_MEANS_OF electrocoagulation equipment
	HAS_APPROACH open
OR_MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION anal canal
	HAS_APPROACH open
WITH destroying
	ACTS_ON benign tumour
		HAS_LOCATION anal canal
	BY_MEANS_OF electrocoagulation equipment
	HAS_APPROACH open
OR_MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION anal canal
	HAS_APPROACH open
OR_MAIN destroying
	ACTS_ON benign tumour
		HAS_LOCATION anal canal
	BY_MEANS_OF electrocoagulation equipment
	HAS_APPROACH open

RUBRIC "Excision simple et/ou lectro-coagulation  d'une tumeur bnigne de l'anus et/ou du canal anal, par abord direct, quelle que soit la technique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D277"
MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION anus
	HAS_APPROACH open
WITH destroying
	ACTS_ON benign tumour
		HAS_LOCATION anus
	BY_MEANS_OF electrocoagulation equipment
	HAS_APPROACH open
OR_MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION anus
	HAS_APPROACH open
OR_MAIN destroying
	ACTS_ON benign tumour
		HAS_LOCATION anus
	BY_MEANS_OF electrocoagulation equipment
	HAS_APPROACH open
OR_MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION anal canal
	HAS_APPROACH open
WITH destroying
	ACTS_ON benign tumour
		HAS_LOCATION anal canal
	BY_MEANS_OF electrocoagulation equipment
	HAS_APPROACH open
OR_MAIN excising
	ACTS_ON benign tumour
		HAS_LOCATION anal canal
	HAS_APPROACH open
OR_MAIN destroying
	ACTS_ON benign tumour
		HAS_LOCATION anal canal
	BY_MEANS_OF electrocoagulation equipment
	HAS_APPROACH open

RUBRIC "Incision simple d'un sinus pilonidal prino-fessier abcd"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D278"
MAIN incising
	ACTS_ON_1 abscess
		HAS_LOCATION_1 perineal space
		HAS_LOCATION_2 buttock
	ACTS_ON_2 pilonidal cyst

RUBRIC "Exrse totale d'un sinus pilonidal prino-fessier"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D279"
MAIN excising
	ACTS_ON pilonidal cyst
		HAS_LOCATION_1 perineal space
		HAS_LOCATION_2 buttock
	HAS_EXTENT total

RUBRIC "Exrse de l'hidrosadnite suppurative prino-fessire [Maladie de Verneuil] de moins de 30 cm2"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D280"
MAIN excising
	ACTS_ON hidradenitis
		HAS_LOCATION_1 perineal space
		HAS_LOCATION_2 buttock
	HAS_EXTENT less than or equal to 30 cm2

RUBRIC "Exrse de l'hidrosadnite suppurative prino-fessire [Maladie de Verneuil] de plus de 30 cm2"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D281"
MAIN excising
	ACTS_ON hidradenitis
		HAS_LOCATION_1 perineal space
		HAS_LOCATION_2 buttock
	HAS_EXTENT more than 30 cm2

RUBRIC "Cholcystectomie isole avec abord transcystique de la voie biliaire principale, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D284"
MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH exploring
	ACTS_ON biliary tract
	HAS_ROUTE cystic duct

RUBRIC "Cholcystectomie isole, sans choldocotomie et sans abord transcystique de la voie biliaire principale, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D283"
MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITHOUT_ACTION incising
	ACTS_ON choledochus
WITHOUT_ACTION exploring
	ACTS_ON biliary tract
	HAS_ROUTE cystic duct

RUBRIC "Choldocotomie isole par laparotomie, chez un cholcystectomis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D293"
MAIN incising
	ACTS_ON choledochus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	FOLLOWS excising
		ACTS_ON gallbladder
		HAS_TEMPORAL_MARKER earlierMarker

RUBRIC "Choldocotomie isole sous coelioscopie, chez un cholcystectomis"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D294"
MAIN incising
	ACTS_ON choledochus
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	FOLLOWS excising
		ACTS_ON gallbladder
		HAS_TEMPORAL_MARKER earlierMarker
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Cration d'une anastomose bilio-digestive au-dessus de la convergence portant sur plusieurs canaux biliaires, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:37 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D304"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct
			HAS_NUMBER several
		CONNECTS_2 digestive tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose bilio-digestive portant sur la convergence, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D303"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common
		CONNECTS_2 digestive tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose bilio-digestive intra-hpatique portant sur un canal segmentaire, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D305"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 intra hepatic bile duct
		CONNECTS_2 digestive tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_APPROACH intra hepatic bile duct

RUBRIC "Cholcystectomie et anastomose entre la voie biliaire principale et le duodnum ou l'estomac, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D287"
MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common / choledochus
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common / choledochus
		CONNECTS_2 stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cholcystectomie et anastomose entre la voie biliaire principale et le duodnum ou l'estomac, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D288"
MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common / choledochus
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common / choledochus
		CONNECTS_2 stomach
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Cholcystectomie et anastomose entre la voie biliaire principale et le jjunum, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D289"
MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common / choledochus
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cholcystectomie sous coelioscopie, et anastomose entre la voie biliaire principale et le duodnum par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D290"
MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common / choledochus
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cholcystectomie sous coelioscopie, et anastomose entre la voie biliaire principale et le jjunum par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D291"
MAIN excising
	ACTS_ON gallbladder
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common / choledochus
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose entre la voie biliaire principale pdiculaire et le duodnum, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D298"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common / choledochus
			IS_PART_OF hepatic pedicle
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Cration d'une anastomose entre la voie biliaire principale pdiculaire et le duodnum, sans gastroentrostomie, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D299"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common / choledochus
			IS_PART_OF hepatic pedicle
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 intestine

RUBRIC "Cration d'une anastomose entre la voie biliaire principale pdiculaire et le duodnum, avec gastroentrostomie, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D300"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common / choledochus
			IS_PART_OF hepatic pedicle
		CONNECTS_2 duodenum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 intestine
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration d'une anastomose entre la voie biliaire principale pdiculaire et le jjunum, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D302"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 hepatic duct common / choledochus
			IS_PART_OF hepatic pedicle
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Rsection de la voie biliaire principale pdiculaire, pour tumeur(s) ou kyste(s), avec anastomose bilio-digestive, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D306"
MAIN resecting
	ACTS_ON hepatic duct common / choledochus
		IS_PART_OF hepatic pedicle
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON tumour / cyst
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 biliary tract
		CONNECTS_2 digestive tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Rsection des portions pdiculaire et pancratique de la voie biliaire principale, pour tumeur(s) ou kyste(s), avec anastomose bilio-digestive, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D307"
MAIN resecting
	ACTS_ON_1 part
		IS_PART_OF hepatic duct common / choledochus
			IS_PART_OF hepatic pedicle
	ACTS_ON_2 part
		IS_PART_OF choledochus
			IS_PART_OF pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	MOTIVATED_BY curing
		ACTS_ON tumour / cyst
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 biliary tract
		CONNECTS_2 digestive tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Duodno-pancratectomie cphalique avec rtablissement de la continuit pancratique, biliaire et digestive, par laparotomie "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D312"
MAIN excising
	ACTS_ON_1 duodenum
	ACTS_ON_2 pancreas head
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 pancreatic duct
		CONNECTS_2 digestive tract
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 biliary tract
		CONNECTS_2 digestive tract
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 digestive tract

RUBRIC "Isthmectomie pancratique avec rtablissements de continuit, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D313"
MAIN excising
	ACTS_ON isthmus
		IS_PART_OF pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 pancreas head
		CONNECTS_2 pancreas tail
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Pancratectomie gauche avec conservation de la rate, avec anastomose pancrato ou wirsungo-jjunale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D314"
MAIN excising
	ACTS_ON segment
		HAS_LATERALITY left
		IS_PART_OF pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 pancreatic duct
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION excising
	ACTS_ON spleen

RUBRIC "Pancratectomie gauche avec conservation de la rate, sans anastomose pancrato ou wirsungo-jjunale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D315"
MAIN excising
	ACTS_ON segment
		HAS_LATERALITY left
		IS_PART_OF pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION excising
	ACTS_ON spleen
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 pancreatic duct
		CONNECTS_2 jejunum

RUBRIC "Pancratectomie gauche avec splnectomie, avec anastomose pancrato ou wirsungo-jjunale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D316"
MAIN excising
	ACTS_ON segment
		HAS_LATERALITY left
		IS_PART_OF pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON spleen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 pancreatic duct
		CONNECTS_2 jejunum
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Pancratectomie gauche avec splnectomie, sans anastomose pancrato ou wirsungo-jjunale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D317"
MAIN excising
	ACTS_ON segment
		HAS_LATERALITY left
		IS_PART_OF pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON spleen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 pancreatic duct
		CONNECTS_2 jejunum

RUBRIC "Duodno-pancratectomie totale avec splnectomie et rtablissements de continuit biliaire et digestive, par laparotomie "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D318"
MAIN excising
	ACTS_ON_1 duodenum
	ACTS_ON_2 pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
WITH excising
	ACTS_ON spleen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 biliary tract
		CONNECTS_2 digestive tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 digestive tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration isole d'une anastomose entre le jjunum d'une part, et le canal de Wirsung et les voies biliaires d'autre part, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D320"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 jejunum
		CONNECTS_2 pancreatic duct
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 jejunum
		CONNECTS_2 biliary tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration isole d'une anastomose entre le jjunum d'une part, et le canal de Wirsung, les voies biliaires et l'estomac d'autre part, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D321"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 jejunum
		CONNECTS_2 pancreatic duct
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 jejunum
		CONNECTS_2 biliary tract
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 jejunum
		CONNECTS_2 stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cration isole d'une anastomose entre le jjunum d'une part, et le canal de Wirsung et l'estomac d'autre part, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D323"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 jejunum
		CONNECTS_2 pancreatic duct
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 jejunum
		CONNECTS_2 stomach
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Prlvement d'un greffon pancratique en vue de transplantation"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D328"
MAIN harvesting
	ACTS_ON implant
		IS_PART_OF pancreas
	TO_ACHIEVE transplanting
		ACTS_ON pancreas

RUBRIC "Transplantation pancratique combine  une greffe de rein, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D329"
MAIN transplanting
	ACTS_ON pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH transplanting
	ACTS_ON kidney
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Enuclation d'une ou plusieurs tumeur(s) pancratique(s), par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D333"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pancreas
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pancreas
		HAS_NUMBER several
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Enuclation d'une ou plusieurs tumeur(s) pancratique(s), sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D334"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pancreas
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pancreas
		HAS_NUMBER several
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Splanchnicectomie, uni ou bilatrale, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:37 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D337"
MAIN excising
	ACTS_ON splanchnic nerve
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_LATERALITY unilateral
	HAS_NUMBER several
	WITH_GUIDANCE_BY laparoscope
OR_MAIN excising
	ACTS_ON splanchnic nerve
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_LATERALITY bilateral
	HAS_NUMBER several
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Splanchnicectomie, uni ou bilatrale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D336"
MAIN excising
	ACTS_ON splanchnic nerve
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_LATERALITY unilateral
	HAS_NUMBER several
OR_MAIN excising
	ACTS_ON splanchnic nerve
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_LATERALITY bilateral
	HAS_NUMBER several

RUBRIC "Splanchnicectomie, uni ou bilatrale, par thoracoscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:37 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D338"
MAIN excising
	ACTS_ON splanchnic nerve
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON thoracic cavity
		BY_MEANS_OF endoscope
	HAS_LATERALITY unilateral
	HAS_NUMBER several
	WITH_GUIDANCE_BY endoscope
OR_MAIN excising
	ACTS_ON splanchnic nerve
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON thoracic cavity
		BY_MEANS_OF endoscope
	HAS_LATERALITY bilateral
	HAS_NUMBER several
	WITH_GUIDANCE_BY endoscope

RUBRIC "Bisegmentectomie hpatique (autre que la lobectomie gauche), par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:37 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D339"
MAIN excising
	ACTS_ON segment
		IS_PART_OF liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_NUMBER more than one
WITHOUT_ACTION excising
	ACTS_ON lobe
		HAS_LATERALITY left
		IS_PART_OF liver

RUBRIC "Hpatectomie centrale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D340"
MAIN excising
	ACTS_ON part
		HAS_POSITION medial
		IS_PART_OF liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Rsection hpatique segmentaire ou atypique isole [nuclation, tumorectomie, ) par coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D350"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF liver
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN resecting
	ACTS_ON tumour
		HAS_LOCATION liver
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Rsection hpatique segmentaire ou atypique isole [nuclation, tumorectomie, ) par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D349"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN resecting
	ACTS_ON tumour
		HAS_LOCATION liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Trisegmentectomie hpatique [autre que l'hpatectomie gauche], par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:37 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D351"
MAIN excising
	ACTS_ON segment
		IS_PART_OF liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_NUMBER more than two
WITHOUT_ACTION excising
	ACTS_ON liver
		HAS_LATERALITY left

RUBRIC "Rsection du dme saillant d'un ou plusieurs kystes hydatiques du foie, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D352"
MAIN resecting
	ACTS_ON hydatid cyst
		HAS_LOCATION liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN resecting
	ACTS_ON hydatid cyst
		HAS_LOCATION liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_NUMBER several

RUBRIC "Kystectomie ou prikystectomie hpatique, unique ou multiple, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:38 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D353"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN excising
	ACTS_ON cyst
		HAS_LOCATION liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_NUMBER several

RUBRIC "Evacuation et drainage d'une collection hpatique sous contrle chographique, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D354"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION liver
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ultrasound machine
WITH draining
	ACTS_ON abscess
		HAS_LOCATION liver
	HAS_ROUTE percutaneous route

RUBRIC "Evacuation et drainage d'une collection hpatique sous contrle scanographique, par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D355"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION liver
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY ct scan device
WITH draining
	ACTS_ON abscess
		HAS_LOCATION liver
	HAS_ROUTE percutaneous route

RUBRIC "Evacuation et drainage d'une collection hpatique sous contrle remnographique [IRM], par voie percutane"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D356"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION liver
	HAS_ROUTE percutaneous route
	WITH_GUIDANCE_BY magnetic resonance imaging device
WITH draining
	ACTS_ON abscess
		HAS_LOCATION liver
	HAS_ROUTE percutaneous route

RUBRIC "Evacuation et drainage d'une collection  hpatique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D357"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH draining
	ACTS_ON abscess
		HAS_LOCATION liver

RUBRIC "Evacuation et drainage d'une collection hpatique, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D358"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION liver
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH draining
	ACTS_ON abscess
		HAS_LOCATION liver
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Fnestration de kystes biliaires, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D360"
MAIN opening
	ACTS_ON cyst
		HAS_LOCATION intra hepatic bile duct
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Fnestration de kystes biliaires, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D359"
MAIN opening
	ACTS_ON cyst
		HAS_LOCATION intra hepatic bile duct
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Prlvement d'un greffon hpatique en vue de transplantation, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D361"
MAIN harvesting
	ACTS_ON liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
TO_ACHIEVE_OVERALL transplanting

RUBRIC "Prlvement d'un greffon hpatique par laparotomie, suivi d'une rduction en vue de transplantation"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D362"
MAIN harvesting
	ACTS_ON liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	FOLLOWED_BY decreasing
		ACTS_ON liver
TO_ACHIEVE_OVERALL transplanting

RUBRIC "Prlvement d'un greffon hpatique par laparotomie, suivi d'un partage en vue de transplantations"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D363"
MAIN harvesting
	ACTS_ON liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	FOLLOWED_BY dividing
		ACTS_ON liver
TO_ACHIEVE_OVERALL transplanting
	HAS_NUMBER several

RUBRIC "Ligature de l'artre hpatique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D368"
MAIN ligating
	ACTS_ON hepatic artery proper
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Mise en place d'un systme diffuseur implantable pour chimiothrapie intra-pritonale, par laparotomie ()"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981205,,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D009"
MAIN installing
	ACTS_ON chamber implant
		HAS_DESTINATION peritoneal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
TO_ACHIEVE_OVERALL instilling
	ACTS_ON chemical substance
		HAS_DESTINATION peritoneal cavity

RUBRIC "Mise en place d'un systme diffuseur implantable pour chimiothrapie artrielle slective ou hyperslective, par abord artriel gastroduodnal, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D369"
MAIN installing
	ACTS_ON chamber implant
		CONNECTS catheter
			HAS_DESTINATION gastro duodenal artery
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
TO_ACHIEVE_OVERALL instilling
	ACTS_ON chemical substance
		HAS_DESTINATION artery
			IS_BRANCH_OF artery trunk / artery

RUBRIC "Mise en place d'un systme diffuseur implantable pour chimiothrapie slective ou hyperslective, par abord d'une branche portale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D370"
MAIN installing
	ACTS_ON chamber implant
		CONNECTS catheter
			HAS_DESTINATION vein
				IS_BRANCH_OF portal vein
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
TO_ACHIEVE_OVERALL instilling
	ACTS_ON chemical substance
		HAS_DESTINATION vein
			IS_BRANCH_OF vein trunk / vein

RUBRIC "Ablation d'un systme diffuseur implant pour chimiothrapie slective ou hyperslective intra-hpatique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D371"
MAIN removing
	ACTS_ON chamber implant
		CONNECTS catheter
			HAS_DESTINATION vessel
				HAS_DESTINATION liver
				IS_BRANCH_OF vessel / trunk
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Splnectomie totale, par laparotomie, y compris l'ventuelle greffe de fragments de rate"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D373"
MAIN excising
	ACTS_ON spleen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT total
WITH_OPTIONALLY grafting
	ACTS_ON part
		IS_PART_OF spleen

RUBRIC "Splnectomie totale, sous coelioscopie, y compris l'ventuelle greffe de fragments de rate"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D374"
MAIN excising
	ACTS_ON spleen
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT total
	WITH_GUIDANCE_BY laparoscope
WITH_OPTIONALLY grafting
	ACTS_ON part
		IS_PART_OF spleen

RUBRIC "Evacuation et drainage, d'une collection splnique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D376"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION spleen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH draining
	ACTS_ON abscess
		HAS_LOCATION spleen

RUBRIC "Evacuation et drainage, d'une collection splnique, sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D377"
MAIN evacuating
	ACTS_ON abscess
		HAS_LOCATION spleen
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH draining
	ACTS_ON abscess
		HAS_LOCATION spleen
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Cration d'une anastomose msentrico-ilio-cave par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D380"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 mesenteric vein
		CONNECTS_2 vena cava
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 iliac vein
		CONNECTS_2 vena cava

RUBRIC "Cration d'une anastomose splno-rnale centrale avec splnectomie, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D381"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 splenic vein
		CONNECTS_2 renal vein
		HAS_POSITION medial
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON spleen

RUBRIC "Cration d'un shunt msentrico-sous-clavier rtro-sternal"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D384"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 mesenteric vein
		CONNECTS_2 subclavian vein
		IS_PART_OF retrosternal space

RUBRIC "Drivation pritono-veineuse, jugulaire [mthode de LE VEEN], ou axillaire ou saphne"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D386"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 peritoneal cavity
		CONNECTS_2 jugular vein
OR_MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 peritoneal cavity
		CONNECTS_2 axillary vein
OR_MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 peritoneal cavity
		CONNECTS_2 great saphenous vein

RUBRIC "Mise en place d'un systme diffuseur implantable avec catheter reli  une veine profonde du membre suprieur ou du cou (port  cath), par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D387"
MAIN installing
	ACTS_ON chamber implant
		CONNECTS catheter
			HAS_DESTINATION vein
				IS_PART_OF upperlimb
	HAS_APPROACH open
OR_MAIN installing
	ACTS_ON chamber implant
		CONNECTS catheter
			HAS_DESTINATION vein
				IS_PART_OF neck
	HAS_APPROACH open

RUBRIC "Ablation d'un systme diffuseur implantable avec catheter reli  une veine profonde du membre suprieur ou du cou (port  cath), par abord direct"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D388"
MAIN removing
	ACTS_ON chamber implant
		CONNECTS catheter
			HAS_DESTINATION vein
				IS_PART_OF upperlimb
	HAS_APPROACH open
OR_MAIN removing
	ACTS_ON chamber implant
		CONNECTS catheter
			HAS_DESTINATION vein
				IS_PART_OF neck
	HAS_APPROACH open

RUBRIC "Transection oesophagienne pour hypertension portale par laparotomie ou par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D389"
MAIN transecting
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	MOTIVATED_BY curing
		ACTS_ON portal hypertension
OR_MAIN transecting
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
	MOTIVATED_BY curing
		ACTS_ON portal hypertension

RUBRIC "Transection oesophagienne avec splnectomie et dconnexion porto-systmique pour hypertension portale, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D390"
MAIN transecting
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON portal hypertension
WITH excising
	ACTS_ON spleen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH unshunting
	ACTS_ON anastomosis structure
		CONNECTS_1 portal vein
		CONNECTS_2 vein
			HAS_DESTINATION vena cava

RUBRIC "Transection oesophagienne avec splnectomie et dconnexion porto-systmique pour hypertension portale, par laparotomie et thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19990125,rodrigues,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D391"
MAIN transecting
	ACTS_ON oesophagus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON portal hypertension
WITH excising
	ACTS_ON spleen
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH unshunting
	ACTS_ON anastomosis structure
		CONNECTS_1 portal vein
		CONNECTS_2 vein
			HAS_DESTINATION vena cava

RUBRIC "Ligature isole du canal thoracique par thoracotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D392"
MAIN ligating
	ACTS_ON thoracic duct
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax wall

RUBRIC "Thrombectomie de la veine porte et/ou d'une de ses branches d'origine, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Manual accept at 1:40:04 pm on March 26, 1999 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "D393"
MAIN excising
	ACTS_ON thrombus
		HAS_LOCATION portal vein
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON thrombus
		HAS_LOCATION vein
			IS_BRANCH_OF portal vein
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN excising
	ACTS_ON thrombus
		HAS_LOCATION portal vein
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
OR_MAIN excising
	ACTS_ON thrombus
		HAS_LOCATION vein
			IS_BRANCH_OF portal vein
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Ponction thyrodienne vacuatrice ou pour diagnostic cytologique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D396"
MAIN evacuating
	ACTS_ON liquid substance
		IS_CONTAINED_IN thyroid gland
	BY_TECHNIQUE puncturing
		ACTS_ON thyroid gland
OR_MAIN puncturing
	ACTS_ON thyroid gland
	TO_ACHIEVE diagnosis
		BY_TECHNIQUE applying
			ACTS_ON cytology testing

RUBRIC "Evacuation, avec ou sans drainage, d'une collection de la loge thyrodienne (abcs, hmatome...), par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:39 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D397"
MAIN evacuating
	ACTS_ON abscess
		IS_CONTAINED_IN thyroid space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH draining
	ACTS_ON abscess
		IS_CONTAINED_IN thyroid space
OR_MAIN evacuating
	ACTS_ON haematoma
		IS_CONTAINED_IN thyroid space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH draining
	ACTS_ON haematoma
		IS_CONTAINED_IN thyroid space
OR_MAIN evacuating
	ACTS_ON abscess
		IS_CONTAINED_IN thyroid space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION draining
	ACTS_ON abscess
		IS_CONTAINED_IN thyroid space
OR_MAIN evacuating
	ACTS_ON haematoma
		IS_CONTAINED_IN thyroid space
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION draining
	ACTS_ON haematoma
		IS_CONTAINED_IN thyroid space

RUBRIC "Enuclation d'un nodule thyrodien par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D399"
MAIN excising
	ACTS_ON thyroid adenoma
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck

RUBRIC "Thyrodectomie (totale ou partielle) pour goitre plongeant par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D405"
MAIN excising
	ACTS_ON thyroid gland
		IS_PART_OF thorax
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
	MOTIVATED_BY curing
		ACTS_ON intrathoracic goiter
OR_MAIN excising
	ACTS_ON thyroid gland
		IS_PART_OF thorax
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT partial
	MOTIVATED_BY curing
		ACTS_ON intrathoracic goiter

RUBRIC "Thyrodectomie (totale ou partielle) pour goitre plongeant, par sternotomie ou par manubriotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D406"
MAIN excising
	ACTS_ON thyroid gland
		IS_PART_OF thorax
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum
	HAS_EXTENT total
	MOTIVATED_BY curing
		ACTS_ON intrathoracic goiter
OR_MAIN excising
	ACTS_ON thyroid gland
		IS_PART_OF thorax
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum
	HAS_EXTENT partial
	MOTIVATED_BY curing
		ACTS_ON intrathoracic goiter
OR_MAIN excising
	ACTS_ON thyroid gland
		IS_PART_OF thorax
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON manubrium sterni
	HAS_EXTENT total
	MOTIVATED_BY curing
		ACTS_ON intrathoracic goiter
OR_MAIN excising
	ACTS_ON thyroid gland
		IS_PART_OF thorax
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON manubrium sterni
	HAS_EXTENT partial
	MOTIVATED_BY curing
		ACTS_ON intrathoracic goiter

RUBRIC "Thyrodectomie totale largie aux cartilages laryngs par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D407"
MAIN excising
	ACTS_ON thyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
WITH excising
	ACTS_ON cartilage
		IS_PART_OF larynx

RUBRIC "Thyrodectomie totale largie avec rsection partielle de trache par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:39 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D408"
MAIN excising
	ACTS_ON thyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
WITH resecting
	ACTS_ON trachea
	HAS_EXTENT partial

RUBRIC "Thyrodectomie totale largie avec rsection anastomose de trache par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D409"
MAIN excising
	ACTS_ON thyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_EXTENT total
WITH resecting
	ACTS_ON trachea
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 trachea
		CONNECTS_2 trachea

RUBRIC "Exploration de tous les sites parathyrodiens cervicaux et mdiastinaux par cervicotomie et sternotomie avec ou sans exrse d'une ou plusieurs glandes, incluant la dissection et l'exrse des vestiges thymiques [thymectomie]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:37 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D413"
MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_NUMBER all
WITH exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN mediastinum cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum
	HAS_NUMBER all
WITH excising
	ACTS_ON parathyroid gland
WITH excising
	ACTS_ON thymus gland structure
OR_MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_NUMBER all
WITH exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN mediastinum cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum
	HAS_NUMBER all
WITH excising
	ACTS_ON parathyroid gland
	HAS_NUMBER several
WITH excising
	ACTS_ON thymus gland structure
OR_MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
	HAS_NUMBER all
WITH exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN mediastinum cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum
	HAS_NUMBER all
WITHOUT_ACTION excising
	ACTS_ON parathyroid gland
WITHOUT_ACTION excising
	ACTS_ON thymus gland structure

RUBRIC "Exploration de tous les sites parathyrodiens cervicaux et mdiastinaux par vido-chirurgie, avec ou sans exrse d'une ou plusieurs glandes, incluant la dissection et l'exrse des vestiges thymiques [thymectomie]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:37 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:39 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D414"
MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
	HAS_APPROACH open
	HAS_NUMBER all
	WITH_GUIDANCE_BY camera device
WITH exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN mediastinum cavity
	HAS_NUMBER all
	WITH_GUIDANCE_BY camera device
WITH excising
	ACTS_ON parathyroid gland
WITH excising
	ACTS_ON thymus gland structure
OR_MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
	HAS_APPROACH open
	HAS_NUMBER all
	WITH_GUIDANCE_BY camera device
WITH exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN mediastinum cavity
	HAS_NUMBER all
	WITH_GUIDANCE_BY camera device
WITH excising
	ACTS_ON parathyroid gland
	HAS_NUMBER several
WITH excising
	ACTS_ON thymus gland structure
OR_MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN neck
	HAS_APPROACH open
	HAS_NUMBER all
	WITH_GUIDANCE_BY camera device
WITH exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN mediastinum cavity
	HAS_NUMBER all
	WITH_GUIDANCE_BY camera device
WITHOUT_ACTION excising
	ACTS_ON parathyroid gland
WITHOUT_ACTION excising
	ACTS_ON thymus gland structure

RUBRIC "Exrse d'une parathyrode cervicale, sans exploration des autres glandes, par cervicotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999
Transformation - adjusting descriptor: cervix - applied at 2:47:42 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D415"
MAIN excising
	ACTS_ON parathyroid gland
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON neck
WITHOUT_ACTION exploring
	ACTS_ON parathyroid gland
	HAS_NUMBER all

RUBRIC "Exrse d'une parathyrode cervicale, sans exploration des autres glandes, par vido-chirurgie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D416"
MAIN excising
	ACTS_ON parathyroid gland
	HAS_APPROACH open
	WITH_GUIDANCE_BY camera device
WITHOUT_ACTION exploring
	ACTS_ON parathyroid gland
	HAS_NUMBER all

RUBRIC "Exploration parathyrodienne mdiastinale par sternotomie avec ou sans exrse d'une ou plusieurs glandes, incluant la dissection et l'exrse des vestiges thymiques [thymectomie]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D417"
MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN mediastinum cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum
WITH excising
	ACTS_ON parathyroid gland
WITH excising
	ACTS_ON thymus gland structure
OR_MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN mediastinum cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum
WITH excising
	ACTS_ON parathyroid gland
	HAS_NUMBER several
WITH excising
	ACTS_ON thymus gland structure
OR_MAIN exploring
	ACTS_ON parathyroid gland
		IS_CONTAINED_IN mediastinum cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON sternum
WITHOUT_ACTION excising
	ACTS_ON parathyroid gland
WITHOUT_ACTION excising
	ACTS_ON thymus gland structure

RUBRIC "Exrse de tissu parathyrodien antrieurement autotransplant"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D418"
MAIN excising
	ACTS_ON autograft
		IS_PART_OF parathyroid gland

RUBRIC "Exploration complte de la cavit abdominale pour recherche d'une ou plusieurs tumeur(s) endocrinienne(s) ectopique(s), avec ou sans exrse(s), par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:37 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D419"
MAIN exploring
	ACTS_ON abdominal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT complete
	TO_ACHIEVE looking for
		ACTS_ON tumour
WITH excising
	ACTS_ON tumour
OR_MAIN exploring
	ACTS_ON abdominal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT complete
	TO_ACHIEVE looking for
		ACTS_ON tumour
		HAS_NUMBER several
WITH excising
	ACTS_ON tumour
OR_MAIN exploring
	ACTS_ON abdominal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT complete
	TO_ACHIEVE looking for
		ACTS_ON tumour
WITHOUT_ACTION excising
	ACTS_ON tumour
OR_MAIN exploring
	ACTS_ON abdominal cavity
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	HAS_EXTENT complete
	TO_ACHIEVE looking for
		ACTS_ON tumour
		HAS_NUMBER several
WITHOUT_ACTION excising
	ACTS_ON tumour

RUBRIC "Exploration complte de la cavit abdominale pour recherche d'une ou plusieurs tumeur(s) endocrinienne(s) ectopique(s), avec ou sans exrse(s), sous coelioscopie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:55 pm on March 26, 1999
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D420"
MAIN exploring
	ACTS_ON abdominal cavity
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT complete
	TO_ACHIEVE looking for
		ACTS_ON tumour
	WITH_GUIDANCE_BY laparoscope
WITH excising
	ACTS_ON tumour
OR_MAIN exploring
	ACTS_ON abdominal cavity
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT complete
	TO_ACHIEVE looking for
		ACTS_ON tumour
		HAS_NUMBER several
	WITH_GUIDANCE_BY laparoscope
WITH excising
	ACTS_ON tumour
OR_MAIN exploring
	ACTS_ON abdominal cavity
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT complete
	TO_ACHIEVE looking for
		ACTS_ON tumour
	WITH_GUIDANCE_BY laparoscope
WITHOUT_ACTION excising
	ACTS_ON tumour
OR_MAIN exploring
	ACTS_ON abdominal cavity
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT complete
	TO_ACHIEVE looking for
		ACTS_ON tumour
		HAS_NUMBER several
	WITH_GUIDANCE_BY laparoscope
WITHOUT_ACTION excising
	ACTS_ON tumour

RUBRIC "Exrse ganglionnaire cervicale unilatrale isole de niveau 1 [sous-mento-sous-maxillaire]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D421"
MAIN excising
	ACTS_ON_1 infra chin lymphnode
	ACTS_ON_2 infra mandibula lymphnode
	HAS_LATERALITY unilateral

RUBRIC "Exrse ganglionnaire cervicale unilatrale isole des niveaux 2 et 3 [jugulo-digastrique et sus-omohyodienne][jugulaire suprieure]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D422"
MAIN excising
	ACTS_ON superior jugular lymphnode
	HAS_LATERALITY unilateral

RUBRIC "Exrse ganglionnaire cervicale unilatrale isole de niveau 4 [sous omohyodienne] [jugulaire infrieure]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D423"
MAIN excising
	ACTS_ON inferior jugular lymphnode
	HAS_LATERALITY unilateral

RUBRIC "Exrse ganglionnaire cervicale unilatrale isole de niveau 5 [spinale et cervicale transverse]"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D424"
MAIN excising
	ACTS_ON cervical lymphnode lateral
	HAS_LATERALITY unilateral

RUBRIC "Exrse ganglionnaire cervicale radicale unilatrale isole de niveaux 2,3,4,5 =D422 +D423+D424"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D426"
MAIN excising
	ACTS_ON cervical lymph node
	HAS_EXTENT extended
	HAS_LATERALITY unilateral

RUBRIC "Exrse ganglionnaire cervicale fonctionnelle unilatrale isole de niveaux 2,3,4,5 = D422 +D423+D424"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D427"
MAIN excising
	ACTS_ON cervical lymph node
	HAS_EXTENT limited extent
	HAS_LATERALITY unilateral

RUBRIC "Exrse ganglionnaire cervicale radicale unilatrale isole de niveaux 1,2,3,4,5 largie aux muscles profonds et/ou aux nerfs et/ou  la carotide, et/ou  la glande parotide =D421+D422+D423+D424"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D428"
MAIN excising
	ACTS_ON cervical lymph node
	HAS_LATERALITY unilateral
WITH excising
	ACTS_ON part
		HAS_POSITION deep
		IS_PART_OF neck

RUBRIC "Oeso-pharyngo-laryngectomie totale  thorax ferm, avec oesophago-gastroplastie, par deux quipes de disciplines diffrentes : "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D076"
MAIN excising
	ACTS_ON oesophagus
	HAS_EXTENT total
WITH excising
	ACTS_ON pharynx
	HAS_EXTENT total
WITH excising
	ACTS_ON larynx
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 oesophagus
		CONNECTS_2 stomach
WITHOUT_ACTION incising
	ACTS_ON thorax wall

RUBRIC "Pylorotomie extra-muqueuse [Pyloro-myotomie extra-muqueuse] par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D134"
MAIN incising
	ACTS_ON muscular layer
		IS_PART_OF pylorus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC " temps chirurgical urologique"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981028,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D221"
MAIN surgery

RUBRIC "Hmostase chirurgicale d'une hmorragie hpatique (traumatique ou par rupture tumorale), par laparotomie, y compris "
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D366"
MAIN control
	ACTS_ON bleeding
		HAS_LOCATION liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Squestrectomie, aprs contusion hpatique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "D367"
MAIN excising
	ACTS_ON sequestrum
		CAUSED_BY trauma
		HAS_LOCATION liver
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Hmostase pour rupture traumatique de rate, avec conservation splnique, par laparotomie"
AUTHOR "rodrigues@univ-st-etienne.fr"
STATUS "0"
HISTORY "19980812,rodrigues@univ-st-etienne.fr,019981029,rodrigues@univ-st-etienne.fr,0;
Transformation - WITHOUT - applied at 1:23:56 pm on March 26, 1999"
PARAPHRASE "a"
SOURCE ""
CODE "D375"
MAIN control
	ACTS_ON bleeding
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON rupture
		CAUSED_BY trauma
		HAS_LOCATION spleen
WITHOUT_ACTION excising
	ACTS_ON spleen

