FIELD: medicine, surgery.
SUBSTANCE: one should fulfill pancreatogastroanastomosis onto posterior gastric wall, then - hepatico- and gastroenteroanastomoses onto small-intestinal loop being circularly closed with an "end-to-side" enteroenteroanastomosis. One should circularly suture closed small-intestinal loop with seal-shaped apparatus suture between developed anastomoses. Gastroenteroanastomosis should be fulfilled into the line of sutures of resected gastric stump. The innovation enables to remove penetration of gastric digesta into biliary ducts and decrease the risk of anastomoses' sutures failure.
EFFECT: higher efficiency.
2 dwg
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