FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to surgery, and can be used for treating a failure of a staple line following longitudinal gastrectomy. Previously formed gastric tube is separated from the fusions to the esophageal-gastric junction. Opening in a staple line of the stomach is found. Roux-removing loop of the small intestine is formed at distance of 50–80 cm from the Treitz ligament of 50–70 cm. Jejunal blank off part is brought to the previously isolated gastric opening. Back row of sutures is formed between a small intestine and a gastric tube. Small intestine is perforated so that a hole in the intestine is located opposite the formed fistula opening in the stomach. Front row of sutures is formed with continuous absorbable suture till complete tightness of anastomosis.
EFFECT: method makes it possible to increase reliability of closure of failure of the bracket line.
1 cl
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Authors
Dates
2019-09-05—Published
2018-07-23—Filed