FIELD: medicine; gastroenterology.
SUBSTANCE: duodenotomy is performed. Anastomosis is imposed over the lumens of duodenum and pseudocyst, the cyst being punctured by a trocar from the duodenum lumen. The trocar stylet is retracted. Four provisory sutures are imposed at the opposite sides of trocar shell perimetre in the following pattern. A needle is inserted at 5 mm distance from the trocar at the side of duodenum mucosa at the angle of 90°. The needle is detracted off the cyst lumen through trocar shell slots. Trocar shell is removed. Additional sutures are made between the cyst and duodenum walls. Duodenography is performed.
EFFECT: reduced post-operational death rate; reduced probability of pancreatoduodenal artery and intrapancreatic common bile duct section damage; reduced traumatic effect of operation and sustaining anastomosis impermeability.
5 dwg, 1 ex
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