PANCREATICJEJUNOSTOMY TECHNIQUE Russian patent published in 2009 - IPC A61B17/11 

FIELD: medicine.

SUBSTANCE: invention concerns medicine, mainly oncology, and can find application in treatment of the patients with tumour of head of pancreas. After removal of a preparation within pancreaticoduodenectomy, an end opening in small intestine is sutured tightly with double layer suturing. Serous layer of intestine is dissected at 15 cm from the closed end longitudinally herewith forming in serous layer an opening of the same diametre that of stump of pancreas. Separate interrupted suturing is applied in stitching an upper semicircle of serous edge of intestine within the opening, omentum strand, a section of stump of pancreas, lower semicircle of serous edge of intestine. Sutures are tightened. An omentum pad is formed between the section of stump of pancreas and intestine. In a submucous layer of small intestine there is a canal formed in blunt technique from the opening in serous layer extended 13 cm towards the closed end of intestine. Silicone drainage tube from stump of Wirsung's duct passes through the formed canal with being delivered to skin. The closed end of small intestine is sutured to anterior abdominal wall with separate interrupted suturing that surrounds the drainage tube delivered to skin. One month after operation, tissues of a forward abdominal wall are dissected under local anaesthesia within the delivered silicone drainage tube to sutured intestine. An opening in intestine is formed. Said silicone drainage is immersed in this intestine. The opening of intestine is sutured tightly with suturing a wound of abdominal wall.

EFFECT: method allows forming pancreaticoenteroanastomosis in anicteric cancers of head of pancreas with friable stump of pancreas and narrow Wirsung's duct without intraoperative pancreaticostomic drainage through lumen of small intestine and lowering rate of the postoperative complications caused by inconsistency of anastomosis.

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