METHOD FOR FORMING TERMINOLATERAL PANCREATOJEJUNOANASTOMOSIS AT PANCREATODUODENAL RESECTION Russian patent published in 2007 - IPC A61B17/00 A61B17/11 

FIELD: medicine, surgery.

SUBSTANCE: the present innovation deals with surgical interferences upon a pancreas. It is necessary to form a terminolateral pancreatojejunoanastomosis in case of pancreatoduodenal resection: one should seal intestinal foramen, drain pancreatic duct with microdrainage with lateral foramens at the level of pancreatic duct, fix microdrainage in area of pancreatic anastomosing, withdraw proximal end of the drainage through "sealed" intestinal end outwards, suture up intestinal wall towards pancreatic capsule, remove the drainage in 1.5-2 mo. Moreover, in microdrainage one should exclude the foramens being below the level of anastomosing, microdrainage should be fixed due to suturing it up to intestine, fixation of the drainage and sealing of intestinal foramen should be fulfilled due to applying uninterrupted S-shaped suture with one ligature. With ligature's ends it is necessary to additionally suture anterior-lateral walls of pancreatic duct at withdrawing them onto anterior surface of pancreas. The ends of ligature should be fixed due to tightening them with a knot upon autobiological material. The innovation provides reliable development of anastomosis due to simultaneous sealing the intestinal foramen and fixing the microdrainage at the level of anastomosis by applying a S-shaped semi-purse-string suture with one ligature and, also, decreasing the chance for the development of pancreatitis and formed anastomosis failure due to avoiding the chance for intestinal content inflow into pancreatic duct and removing the chance of activating impact of enterokinase or bile upon the enzymes of pancreatic juice.

EFFECT: higher efficiency.

2 dwg, 1 ex