The method of forming a submersible purse string invagination pancreatoejunoanastomosis

摘要

FIELD: medicine.SUBSTANCE: invention relates to surgery and can be used for the formation of pancreaticojejunoanastomosis in chronic pancreatitis and neoplasms of pancreatic head. Semipurse-string embolic pancreaticojejunoanastomosis end is formed in the side between the pancreas and Roux isolated jejunum enteric loop by means of an obliquely longitudinal incision of the intestinal wall to the submucosal layer, so that the length of the incision corresponds to the diameter of the pancreas, applying a serous-muscular-submucosal suture in the posterior wall of the intestine with vicryl 4.0 in the transverse direction to the pancreas and gripping the posterior surface of the pancreas with a subcapsular suture in the longitudinal direction of the intestine until the formation of the posterior lip of the pancreaticojejunoanastomosis, opening of the intestine lumen, pulling of the thread on the back lip of the anastomosis, tying the knots at both ends of the semipurse-string suture, similar formation of the semipurse-string suture on the anterior lip of the anastomosis.EFFECT: method allows reducing the traumatization of parenchyma of the pancreas, evenly distributing the load between the sutures.1 cl, 1 ex, 3 dwg