FIELD: medicine.
SUBSTANCE: after pancreatoduodenectomy with extended lymphadenectomy and total celiac-mesenteric neurodissection, small intestine reinnervation is performed. From the origin point of the first branch of the inferior mesenteric artery to the origin point of the inferior mesenteric artery from the abdominal aorta a paravasal fiber flap containing the inferior mesenteric plexus is separated. The resulting flap is fixed to the paravasal fiber of the superior mesenteric artery, comprising the superior mesenteric plexus.
EFFECT: method allows to improve the quality of life for patients after extended lymphadenectomy and neurodissection, operated pancreatic cancer patients, by creating conditions for small intestine nerve fibers regeneration.
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