METHOD OF FORMING INTRAOCORPORAL LAPAROSCOPIC TERM-TERMINAL INVAGINATION AND ILEOTRANSVERSE ANASTOMOSIS Russian patent published in 2019 - IPC A61B17/11 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgery, and can be used for laparoscopic intracorporal term-terminal invagination ileotransverse anastomosis performed after laparoscopic right-sided hemicolectomy. A laparoscopically intracorporal first self-locking absorbable suturing thread is used to form an external suture line of the posterior lip of the anastomosis with a shuttle continuous seromuscular suture to the iliac and transverse colon, while a greater-stitch intestine has a stitch pitch greater than that of the small intestine. By stretching the thread after each stitch, thereby adapting different gut diameters to each other. A lumen of iliac and transverse colon is opened. A laparoscopically intracorporal second synthetic absorbable polyfilament suture is used to form a Multanovski front suture and a Schmiden back suture of the inner lute of ileotransverse anastomosis. A laparoscopically intracorporal third self-fixed absorbable suture is incised to form an anterior row of an anterior lip of the anastomosis.

EFFECT: method allows adapting different diameters of the iliac and transverse colon, forming an anastomosis with antireflux properties.

1 cl, 6 dwg