METHOD OF FORMING PANCREATOENTEROANASTOMOSIS IN PANCREATODUODENAL RESECTION

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely, to abdominal surgery, and can be used for pancreatoduodenal resection. To do this, the seams between the wall of the pancreatic duct and the intestine are applied as follows. First, the back lip of the anastomosis is formed by sewing the loop of the small intestine to the pancreas stump with two U-shaped serous-muscular sutures at a distance of 1–2 cm from the edge of the resection. Then the intestinal margin of the intestine is excised from the intestinal wall to the mucous membrane. Hole is formed in the wall of the intestine corresponding to the diameter of the pancreatic duct. Lumen is opened and two lateral sutures and one on the lower wall of the duct are placed between the wall of the pancreatic duct and the bowel. Then, at a distance of 5 mm from the edge of the resection through the tissue of the pancreas, the wall of the main pancreatic duct and through all layers of the intestinal wall, one U-shaped seam is applied. Cult of the pancreas is covered with the gut, fixing it with filaments from the U-shaped serous-muscular sutures used in the formation of the posterior lip of the anastomosis.;EFFECT: method provides a significant reduction in the incidence of pancreatoenteroanastomosis, post-operative pancreatitis, in this category of patients by reducing the traumatization of the pancreatic parenchyma due to the development of a certain tactic of pancreatoenteroanastomosis.;1 cl, 2 dwg, 1 ex