LAPAROSCOPIC METHOD FOR FALSE AND TRUE PANCREATIC CYST EXCISION IN CHILDREN Russian patent published in 2015 - IPC A61B17/00 A61B17/94 

FIELD: medicine.

SUBSTANCE: one videoport is inserted 2 cm below a navel along the mid-line. Two instrumental ports are inserted from the right and left along the midclavicular line and below the navel line. The right port is inserted 1-1.5 cm above the left one. A third instrumental port for a Cuschieri retractor is inserted along the anterior axillary line from the left 2-3 cm below the left hypochindrium. A peritoneal sac is opened. A cyst cavity is opened by dissecting longitudinally. A jejunum is transected at 25-30 cm from a duodenojejunal bend. One or more arterial stems are preserved as a pedicle. A proximal section of the intestine is sutured in 'end-to-end' in the distal direction outside the abdominal cavity through a mini-laparotomic approach in the navel segment. A short loop 35-40 cm long is formed. A distal end of the intestine is sutured with a locking one-row suture extending through a window in a mesentery of transverse colon. That is fixed tension-free to the pancreatic cyst. A cystojejunostomosis is created.

EFFECT: method provides reducing injuries and postoperative complications, reduces the time for operation and staying in hospital, ensures the effective drainage of the cyst and high aesthetic effect by the optimal placement of the ports, forms the anastomosis outside the abdominal cavity, and uses small incisions.

1 dwg, 1 ex