METHOD FOR ANASTOMOSIS DURING OPERATIONS FOR CHRONIC PANCREATITIS COMPLICATED BY OBSTRUCTIVE JAUNDICE Russian patent published in 2022 - IPC A61B17/11 A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to abdominal surgery. A loop of jejunum is isolated 50 cm from the ligament of Treitz and transected. Then the stump of the intestine, leading to and going to the pancreas, is muffled and immersed in a purse-string suture. Impose pancreatojejunoanastomosis, capturing the parenchyma and the capsule of the pancreas and serous-muscular-submucosal layer of the jejunum. The discharge end of the intestine is muffled and immersed in a purse-string suture. The supraduodenal part of the common bile duct is mobilized by dissecting the peritoneum of the hepatoduodenal ligament. The common bile duct is dissected in this area longitudinally at a distance of 10 mm. On the stump of the jejunum, isolated according to Roux, an incision is made up to the mucous membrane with a length of 10 mm in the transverse direction of the length of the intestine. An anastomosis is formed between the common bile duct and the jejunal stump. Between the Roux-en-Y loop and the loop that forms the pancreatojejunoanastomosis, an entero-enteroanastomosis is applied for 6 cm, side-to-side.

EFFECT: method allows avoiding pancreaticojejunostomy failure, stricture of the common bile duct or cholangitis in the early and late postoperative period, as well as preventing postoperative maldigestion leading to gradual exhaustion of the patient.

1 cl, 1 ex