METHOD FOR TOTAL DUODENOPANCREATECTOMY Russian patent published in 2022 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to surgery, oncology, endocrinology. The whole pancreas is removed with the preservation of all parts of the stomach and spleen and all arterial branches of the celiac trunk. At the same time, gradual mobilization of vessels from the mouth of the celiac trunk in the distal direction is carried out, including the splenic artery throughout with a gradual ligation of short pancreatic branches: a. pancreatica dorsalis, a. pancreatic inferior, a. caudae pancreatitis. The common hepatic artery is mobilized with preservation of the arterial arch from a. gastroduodenalis and a. gastroepiploeca dextra to the transverse artery of the pancreas. Mobilize and save a. gastrica sinistra and arterial arch of Barkov. The venous branches of the portal and splenic vein system are mobilized and preserved: anterior superior pancreatoduodenal vein, right and left gastroepiploic veins, right coronal vein, short gastric veins and Barkov's venous arch throughout.

EFFECT: method allows to preserve the arterial and venous vascular architectonics to the maximum to prevent the "block" of blood inflow and outflow, which, in turn, allows to prevent possible varicose transformation of the veins of the fornix of the stomach and the development of a portal segmental block with subsequent recurrent gastric bleeding, postsplenectomy sepsis and reduces the risk of postprandial hyperglycemia in the postoperative period.

1 cl, 1 ex