FIELD: medicine.
SUBSTANCE: perform ultrasound-guided puncture and opening the main pancreatic duct. Ultrasonic dissector removed part of the upper and lower walls of the duct. Carry out crushing and removal of stones in the bayou, the parenchyma in the wake of further dissection of the flow line and the proximal portion of the duct to the passage of the tool in his mouth. On the border of the head and body gland duct to expand 1.5-1.8 cm on the type of operation Frey. Impose a longitudinal pancreaticojejunostomosis. Configure intestinal anastomosis Roux.
EFFECT: method allows the outflow of pancreatic juice through pancreaticojejunostomosis and through the restored estuary Wirsung flow, reduces the severity of pain in patients with chronic calculous pancreatitis, reduces the risk of obliteration pancreaticojejunostomosis.
1 cl, 1 ex
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