FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to oncology and abdominal surgery and can be used for surgical treatment of patients with tumor duodenal involvement. Duodenum is mobilized from pancreatic tissue with separate dressing of front and posterior short duodenal vessels and preservation of anterior and posterior pancreaticoduodenal vascular arches. A circular resection of not only a lower-horizontal, but a distal portion of the descending duodenum is carried out at least 3 cm from the bile papilla with formation of iso- or anti-peristaltic duodenojejunal anastomosis as "side-to-side".
EFFECT: method provides high reliability and functionality of the anastomosis ensured by anatomically justified mobilization of duodenum from pancreatic tissue.
1 cl, 2 dwg, 2 ex
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