FIELD: medicine.
SUBSTANCE: pancreato-cerebral anastomosis under the conditions of stomach extirpation and pancreatoduodenal resection. The reservoir, which performs the function of the stomach, is directed to the esophagus stump and an anastomosis is applied. In the left half of the reservoir, the serous and muscular layer is prepared, creating a serous-muscular roller based on the size of the mobilized segment of the pancreas stump. The edges of the pancreatic parenchyma are fixed to the serous-muscular roller. Muff-shaped peritonization of the anastomosis is performed. The small intestine is fixed with nodular sutures to the opening of the transverse colon mesentery.
EFFECT: method allows to increase the consistency and physiological functionality of the anastomosis during reconstructive operations on the gastrointestinal tract.
1 ex, 5 dwg
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