FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to abdominal surgery, gastroenterology. Roux-loop 60 cm long and a side-to-side intestinal anastomosis are formed. When the stomach is cut off from the oesophagus, a Satinsky clamp is applied on the oesophagus. Adventitia and the muscular layer of the oesophagus are circularly transected; after its contraction, the submucosal-mucous layer is dissected away. Roux-loop is delivered through a mesocolon in an avascular zone. 2 sutures are applied, connecting jejunum and lateral parts of oesophagus. Anterior jejunal wall is dissected proximally to the clamp. Second row of sutures of a posterior lip of the anastomosis is formed by applying interrupted sutures through all layers so that the nodes are located in the intestinal lumen. Two transitional sutures are formed between the posterior and anterior lip of the anastomosis. Anterior lip of the anastomosis is formed, the needle is pricked out from the side of the serous membrane of the jejunum, the needle is pricked out from the side of the oesophageal mucosa, and the needle is pricked out from the side of the adventitia. Slide U-sutures are applied, and the anastomosis area is invaginated.
EFFECT: method enables reducing the risk of digestive anastomosis leakage after gastrectomy and oesophageal resection, provides satisfactory long-term functional results, prevents formation of reflux from the intestinal lumen into the oesophagus.
1 cl, 8 dwg, 1 ex
