TECHNIQUE FOR ISOPERISTALTIC GASTRIC TRANSPLANT CREATION Russian patent published in 2014 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgery. The oesophagus is extirpated. The oesophagus is formed by the isoperistaltic stem from a greater curvature of stomach with elongating the transplant. A serous myotomy is performed in spaces between branches of a right gastric omental artery. A resection of a lesser curvature of stomach involves 2-3 angular dissections of the gastric walls in the serous myotomy spaces at 2.5-3cm from the border of the greater curvature of stomach. After the transplant is cut out, sharp angles formed along the resection lines are stretched out. The transplant is placed in the posterior mediastinal space. A cervical oesophagogastroanastomosis is applied.

EFFECT: method enables elongating the transplant, creating the oesophagogastroanastomosis close to the last branch of the right gastric omental artery, increasing opportunities to elongate the gastric transplant, avoiding ischemia within the anastomosis with total gastric replacement.

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