FIELD: medicine, surgery.
SUBSTANCE: in lumen of duodenum through cystic duct drainage or probe is passed. To drainage or probe, two ligatures of not less than 50 cm long are fixed. Drainage or probe is withdrawn through cystic duct. Proximal ends of ligatures are taken out dragged after it. Distal ends of ligatures are taken out through papilla fateri to duodenotomic opening. Distal ends of ligatures are moved apart and pulled up. Papilla fateri is taken out to duodenotomic opening. Dissection of large duodenal papilla is performed on 11-12 o'clock between ligatures on the length of 0.6-2.5 cm. After plasty of papilla fateri ligatures are withdrawn.
EFFECT: reduction of risk of injury to pancreatic duct, simplicity and convenience for surgeon when performing operation.
3 dwg, 1 tbl
| Title | Year | Author | Number |
|---|---|---|---|
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|
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