METHOD FOR DISTAL GASTRIC RESECTION Russian patent published in 2007 - IPC A61B17/00 A61B17/11 

FIELD: medicine, surgery.

SUBSTANCE: the present innovation deals with treating benign and malignant diseases of distal gastric department. On removing distal gastric part out of the greater curvature of gastric stump it is necessary to form a gastric tube, cross the first loop of jejunum, with duodenum anastomose the distal end of crossed jejunum, make "a foramen" between straight vessels of mesentery anastomosed with duodenal loop and through this "foramen" one should apply a gastric tube and fix it with sutures by mesentery and the wall of intestinal loop. Arch-shapely one should lance the loop's lumen around distal end of gastric tube. Adjacent walls of intestines and gastric tube should be sutured up with seroso-muscular-submucous sutures, external edges of intestinal wound should be sutured with a single-row seroso-muscular-submucous suture. Abducting arm of jejunal loop should be applied along vertical duodenal branch being parallel to its horizontal branch to fix it in this position by mesentery of small and large intestines. Under large-intestinal mesentery the abducting arm of jejunal loop should be applied along adducting one horizontally up to Treitz ligament. Abducting intestine and proximal department of crossed jejunum should be fixed together with separate seroso-serous sutures by mesenteric edges to form a terminal-lateral entero-enteroanastomosis with a single-row precision monolithic seroso-muscular-submucous suture between proximal jejunal end and abducting intestine. The innovation provides prophylaxis for the risk of postgastroresection syndromes, portion-based evacuation of food out of gastric stump and excludes reflux into gastric stump.

EFFECT: higher efficiency of gastric resection.

11 dwg, 1 ex