METHOD FOR CARRYING OUT PANCRETAODUODENAL RESECTION IN LOCALLY DISSEMINATED PERIAMPULAR CARCINOMA CASES ACCOMPANIED BY TUMOR INVASION OF ANTERIOR PORTAL VEIN WALL ORIFICE

摘要

FIELD: medicine.;SUBSTANCE: method involves carrying out portal vein orifice resection in completely separated state. The portal vein orifice is excised in rhomb shape continued to anterior walls of end portions of splenic and superior mesenterial veins and the beginning portal vein portion. Then, portal vein orifice plastic operation is carried out in transverse direction with mesenterial and portal system veins diameters being retained unchanged.;EFFECT: retained blood circulation in the splenic vein; provided blood circulation in the portal vein close to physiological conditions.;2 dwg