FIELD: medicine, oncosurgery.
SUBSTANCE: the present innovation deals with surgical treatment of tumors in biliopancreatoduodenal area. In the course of pancreatoduodenal resection, at the stage of forming a pancreatoenteroanastomosis it is necessary to introduce a button probe into widened pancreatic duct for the distance of about 4-5 cm, not less. One should dissect pancreatic tissue at the probe, withdraw the end of button probe outwards, fix a silicone drainage tube to the probe's end, tube's diameter should correspond to that of the duct. Then one should withdraw the probe outwards by applying the silicone tube through pancreatic tissue, apply a pancreatoenteroanastomosis, apply the end of the tube that drains pancreatic duct in area of pancreatic anastomosis, withdraw a free end of silicone tube onto the skin to be fixed. In postoperational period it is necessary to fulfill constant injection of cooled solutions by drops into silicone drainage tube. This method provides reliable drainage of pancreatic duct, prevents its obturation in postoperational period and provides prophylaxis of pancreatic anastomosis failure.
EFFECT: higher efficiency of prophylaxis.
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Authors
Dates
2006-10-27—Published
2005-04-04—Filed