FIELD: medicine. SUBSTANCE: method involves mobilizing duodenum walls in ulcer zone. A part of duodenum wall is excised. Major duodenal papilla is implanted into the corner of duodenal stump beginning from the inferior boundary of the stump. Both walls of the duodenum are caught into the suture and papilla ampulla. Interrupted sutures are put in along the papilla perimeter. The stump is completely sutured in longitudinal direction. Ulcer crater on the pancreas is covered with tampon produced from excessive portion of anterior duodenum wall. Gastroduodenectomy is carried out after draining extrahepatic biliary ducts. EFFECT: removed venous valves insufficiency. 3 dwg
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