FIELD: medicine.
SUBSTANCE: after pancreatoduodenal resection with stomach extirpation a submerged dipping esophageal-jejunal anastomosis is applied. Anastomosis of the pancreas stump with the jejunum with muff-shaped peritoneisation of the anastomosis is performed. Anti-reflux choledochojunoanastomosis is applied between the leading loop of the jejunum at the level of the chopped choledochus stump and choledochus. A reservoir replenishing the function of the removed stomach is formed by thin-intestinal anastomosis with a length of 15 cm according to Brown. The reservoir is fixed with nodal sutures to the edge of the opening of the transverse colon mesentery.
EFFECT: gastrointestinal tract reconstruction after pancreatoduodenal resection with gastrectomy for locally advanced gastric cancer.
1 ex, 6 dwg
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