Pancreatoduodenectomy WAY IN THE FIELD locally advanced PERIAMPULYARNOY with extensive tumor invasion of the main veins mesentericoportal-portal system

摘要

1.method u043fu0430u043du043au0440u0435u0430u0442u043eu0434u0443u043eu0434u0435u043du0430u043bu044cu043du043eu0439 resect in u043cu0435u0441u0442u043du043eu0440u0430u0441u043fu0440u043eu0441u0442u0440u0430u043du0435u043du043du043eu043c cancer u043fu0435u0440u0438u0430u043cu043fu0443u043bu00a0u0440u043du043eu0439 area with extensive u043eu043fu0443u0445u043eu043bu0435u0432u043eu0439 invasion of veins u043cu0435u0437u0435u043du0442u0435u0440u0438u043au043e - long u0442u0430u043bu044cu043du043eu0439 system comprising u0446u0438u0440u043au0443u043bu00a0u0440u043du0443u044e resection of single block with u043fu0430u043du043au0440u0435u0430u0442u043eu0434u0443u043eu0434u0435u043du0430u043bu044cu043du044bu043c complex u0432u043eu0440u043eu0442u043du043eu0439, upper u0431u0440u044bu0436u0435u0435u0447u043du043eu0439 and u0441u0435u043bu0435u0437u0435u043du043eu0447u043du043eu0439 veins with subsequent plastic surgery of wen and the reconstruction of the gastrointestinal tract.u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 so that phase to resect the u043fu0430u043du043au0440u0435u0430u0442u043eu0434u0443u043eu0434u0435u043du0430u043bu044cu043du043eu0433u043e complex and the main veins, by u0441u043au043eu0448u0435u043du043du043eu0433u043e end side u0430u043du0430u0441u0442u043eu043cu043eu0437u0438u0440u043eu0432u0430u043du0438u00a0 two u0430u0443u0442u043eu0432u0435u043du043eu0437u043d s or synthetic u043au043eu043du0434u0443u0438u0442u043eu0432 or their combination, u044du043au0441u0442u0440u0430u043au043eu0440u043fu043eu0440u0430u043bu044cu043du043e form with a single conduit.then cross the splenic vein u0434u0438u0441u0442u0430u043bu044cu043du0435u0435 her u043eu043fu0443u0445u043eu043bu0435u0432u043eu0433u043e u043fu043eu0440u0430u0436u0435u043du0438u00a0 and u0430u043du0430u0441u0442u043eu043cu043eu0437u0438u0440u0443u044eu0442 her stump in the end at the bar u043au043eu043du0434u0443u0438u0442u0430, u0440u0435u0437u0435u0446u0438u0440u0443u044eu0442 u0432u043eu0440u043e u0442u043du0443u044e and superior mesenteric veins, u0443u0434u0430u043bu00a0u044eu0442 u043fu0430u043du043au0440u0435u0430u0442u043eu0434u0443u043eu0434u0435u043du0430u043bu044cu043du044bu0439 complex formation between the first and u043eu0441u0443u0449u0435u0441u0442u0432u043bu00a0u044eu0442 distal u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 u0432u043eu0440u043eu0442u043du043eu0439 vein and u043au043eu043du0434u0443u0438 theand then u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 between u043au0443u043bu044cu0442u0435u0439 proximal upper u0431u0440u044bu0436u0435u0435u0447u043du043eu0439 veins and u043au043eu043du0434u0443u0438u0442u043eu043c, the latter form after u0432u043eu0441u0441u0442u0430u043du043eu0432u043bu0435u043du0438u00a0 trunk u0441u043fu043bu0435u043du043e port industrial circulation.;2. method u043fu0430u043du043au0440u0435u0430u0442u043eu0434u0443u043eu0434u0435u043du0430u043bu044cu043du043eu0439 resect in u043cu0435u0441u0442u043du043eu0440u0430u0441u043fu0440u043eu0441u0442u0440u0430u043du0435u043du043du043eu043c cancer u043fu0435u0440u0438u0430u043cu043fu0443u043bu00a0u0440u043du043eu0439 area with extensive u043eu043fu0443u0445u043eu043bu0435u0432u043eu0439 invasion of veins u043cu0435u0437u0435u043du0442u0435u0440u0438u043au043e - long u0442u0430u043bu044cu043du043eu0439 system p.1, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0 orderwith a long cultivation u0441u0435u043bu0435u0437u0435u043du043eu0447u043du043eu0439 vienna its implanting in the side in advance by u0430u0443u0442u043eu0432u0435u043du043eu0437u043du043eu0433u043e or synthetic u043au043eu043du0434u0443u0438u0442u0430 phase to u0443u0434u0430u043bu0435u043du0438u00a0 punk u0440u0435u0430u0442u043eu0434u0443u043eu0434u0435u043du0430u043bu044cu043du043eu0433u043e complex after resect the block bodies with a tumor u043eu0441u0443u0449u0435u0441u0442u0432u043bu00a0u044eu0442 u043cu0435u0437u0435u043du0442u0435u0440u0438u043au043e - u043fu043eu0440u0442u0430u043bu044cu043du043eu0435 prosthetics consistent formation of diest industrial u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 portal vein and proximal upper u0431u0440u044bu0436u0435u0435u0447u043du043eu0439 u0430u043du0430u0441u0442u043eu043cu043eu0437u0430 veinsyou meet u043au043eu043du0434u0443u0438u0442u0430 and anastomosis between the vein and the upper u0431u0440u044bu0436u0435u0435u0447u043du043eu0439 u043au043eu043du0434u0443u0438u0442u043eu043c u043du0430u043au043bu0430u0434u044bu0432u0430u0435u0442u0441u00a0 after u0432u043eu0441u0441u0442u0430u043du043eu0432u043bu0435u043du0438u00a0 trunk u0441u043fu043bu0435u043du043e - u043fu043eu0440u0442u0430u043bu044cu043du043eu0433u043e blood flow as well.