FIELD: medicine, surgery.
SUBSTANCE: the present innovation deals with radical operative treatment in patients with cancer of organs in bioliopancreatoduodenal area in the course of pancreatoduodenal resection under conditions of insufficient permeability of cholecystobiliary duct. Reconstruction of biliary ducts should be carried out due to applying choledochocholecystoanastomosis and cholecystodigestive anastomosis. Moreover, cholecystobiliary duct should not be crossed. One should apply cholecystojejunoanastomosis and suture the stump of common biliary duct precisely without any tension into patient's gallbladder in area of its cervix. The method provides adequate biliary outflow and prophylaxis of purulent-septic complications and biliary hypertension.
EFFECT: higher efficiency of reconstruction.
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