FIELD: medicine, surgery.
SUBSTANCE: the present innovation deals with surgical therapy of locally spread cancer of periampular area at vast tumor invasion of veins in mesenterico-portal system. It is necessary to introduce cannulas with athrombogenic covering into the upper mesenteric and portal veins. Moreover, temporary vascular bypass should be formed due to simultaneous cannulation of splenic vein, the upper mesenteric vein, portal vein being distally and proximally against tumor lesion. With separating T-pieces one should connect cannulas together and with the system of bypass heparinization. The present innovation provides temporary prosthetics of the main portal circulation, enables to avoid thrombotic complications, hepatic and intestinal failure, splenic ischemia.
EFFECT: higher efficiency.
1 dwg, 1 ex
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Authors
Dates
2008-04-10—Published
2006-10-26—Filed