FIELD: medicine.
SUBSTANCE: after a pancreatoduodenal complex has been removed and a cholecystectomy has been performed, a lateral wall of a common bile duct and a left lateral wall of a cystic duct stump are incised throughout the length of 1 to 1.5 cm. At least 5 sutures are applied on the incised duct sections from the inside. A junction is created between the cystic duct stump and the common bile duct. That is ensured by forming an anastomosis of 2-2.5 cm in diameter between a jejunum and the formed junction.
EFFECT: method provides creating the jajuneal anastomosis if observing the narrow bile ducts and the low cystic duct inflow into the common bile duct, and reduces a risk of anastomotic leak and cholangitis development.
1 dwg
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