FIELD: medicine.
SUBSTANCE: invention relates to surgery and may be applicable to distal pancreas resection. Pancreaticojejunoanastomosis is formed at a distance of 30 cm from the Treitz ligament on the lateral surface of the jejunum. Perform cut of the wall of the jejunum corresponding to the transverse dimension of the stump of the pancreas. Apply single seams with an atraumatic needle that does not dissolve by 2/0 span filament, fixing the wall of the
the lumen of the jejunum. Stitches are placed along the perimeter of the stump of the pancreas. Enteroenteroanastomosis is formed between the leading and withdrawing loops of the small intestine, side by side in two rows of sutures: the first row is a continuous suture with 2/0 vicryl strand, the second row is a single nodal sutures with a capron thread 0, an anastomosis length of 4 cm, at a distance of 50 cm from the Treitz ligament. Drain the small pelvis and the anastomosis area.
EFFECT: method makes it possible to prevent the development of enzymatic peritonitis.
1 cl, 1 ex, 1 dwg
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Authors
Dates
2018-09-07—Published
2017-09-27—Filed