Pancreatoduodenectomy WAY IN THE FIELD locally advanced PERIAMPULYARNOY with extensive tumor invasion of the main veins mesentericoportal-portal system and the presence of two main trunks superior mesenteric vein

摘要

method u043fu0430u043du043au0440u0435u0430u0442u043eu0434u0443u043eu0434u0435u043du0430u043bu044cu043du043eu0439 resect in u043cu0435u0441u0442u043du043eu0440u0430u0441u043fu0440u043eu0441u0442u0440u0430u043du0435u043du043du043eu043c cancer u043fu0435u0440u0438u0430u043cu043fu0443u043bu00a0u0440u043du043eu0439 area with extensive u043eu043fu0443u0445u043eu043bu0435u0432u043eu0439 invasion of veins u043cu0435u0437u0435u043du0442u0435u0440u0438u043au043e - long u0442u0430u043bu044cu043du043eu0439 system and the existence of two main guns on the upper u0431u0440u044bu0436u0435u0435u0447u043du043eu0439.including u0446u0438u0440u043au0443u043bu00a0u0440u043du0443u044e resection of single block with a set of core barrels u043fu0430u043du043au0440u0435u0430u0442u043eu0434u0443u043eu0434u0435u043du0430u043bu044cu043du044bu043c upper u0431u0440u044bu0436u0435u0435u0447u043du043eu0439 veins with their subsequent move and reconstruction processes u0440u0443u043au0446u0438u0435u0439 digestive tract, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 orderthe recovery of u043cu0435u0437u0435u043du0442u0435u0440u0438u043au043e - u043fu043eu0440u0442u0430u043bu044cu043du043eu0433u043e venous blood flow u043eu0441u0443u0449u0435u0441u0442u0432u043bu00a0u044eu0442 through consistent u0444u043eu0440u043cu0438u0440u043eu0432u0430u043du0438u00a0 u0430u043du0430u0441u0442u043eu043cu043eu0437u043eu0432 "end to end" between the barrels in the u0435u0440u0445u043du0435u0439 u0431u0440u044bu0436u0435u0435u0447u043du043eu0439 veins and synthetic u043au043eu043du0434u0443u0438u0442u0430u043cu0438 of ptfe with the outer u0430u0440u043cu0438u0440u043eu0432u0430u043du0438u0435u043c,with the subsequent formation of a single u0441u043eu0443u0441u0442u044cu00a0 u043au043eu043du0434u0443u0438u0442u043eu0432 by their side u0430u043du0430u0441u0442u043eu043cu043eu0437u0438u0440u043eu0432u0430u043du0438u00a0 and overlaid u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 between u043au043eu043du0434u0443u0438u0442u0430u043cu0438 and u043au0443u043bu044cu0442u0435u0439 portal vein.