METHOD FOR LAPAROSCOPIC HEPATICOJEJUNOSTOMY ACCOMPANYING PANCREATODUODENAL RESECTION Russian patent published in 2014 - IPC A61B17/00 A61B17/04 A61B17/11 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgery, and can be used in a laparoscopic hepaticojejunostomy accompanying pancreatoduodenal resection. A pancreatectomy is performed. A side-to-end pancreaticojejunoanastomosis is created on the Roux isolated jejunal loop. The hepaticojejunostomy follows. An intestinal lumen is exposed at 10-15 cm from the created pancreaticojejunoanastomosis; the opening diameter is equal to that of a common hepatic duct. The needle is first pricked in a point of 9 o'clock. After knotting, traction of a free end of the needle is generated to extend a posterior wall of the common hepatic duct. A posterior lip of the anastomosis is created by locking continuous stitching at 0.1-0.3 cm to the level of 3 o'clock. The second knot is formed. An anterior lip of the anastomosis is created by locking continuous stitching at 0.1-0.3 cm. Once reaching the position of 9 o'clock, the free ends of the suture are tied together.

EFFECT: method provides reducing the intraoperative injuries, the length of treatment, and the risk of postoperative ventral hernias by applying the laparoscopic approach involving no injuries of the muscles of the anterior abdominal wall and providing the reliable anastomosis to be created.

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