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METHOD OF HEPATICOJEJUNOSTOMY

机译:肝静脉吻合术

摘要

FIELD: clinical surgery. SUBSTANCE: method appropriate to use in treatment of diseases and traumatic injuries of out-of-liver biliary ducts consists in the following. Anastomosis is applied between small intestine and common hepatic duct. Simultaneously, rectangular flap facing mesentery by its basis is cut from intestinal wall in transverse direction. Antimesenteric border of flap is demucoused to under-mucous basis over the space of 2 mm. Anastomosis is applied in end-to-end manner by one-row microsutures. Antimesenteric border of flap is sutured along circle line of common hepatic duct. Joining layer of duct and serous- muscular encasement with under-mucous basis of small intestine on demucousation area are entrapped in suture. Tube is further formed by suturing side borders of small intestine flap with two rows of sutures. The first one entraps under-mucous basis, and the second one serous-muscular encasement in butt manner. EFFECT: enabled formation of areflux anastomosis. 2 ex
机译:领域:临床手术。物质:适用于治疗肝外胆管疾病和外伤的方法如下。小肠与肝总管之间采用吻合术。同时,从肠壁的横向切下面向肠系膜的矩形皮瓣。皮瓣的反肠系膜边界在2 mm的空间内被剥离至粘膜下。单行显微缝合以端到端的方式应用吻合术。沿肝总管圆线缝合皮瓣的中肠系膜边界。在粘膜粘连区域将导管和浆膜肌肉包裹的连接层与小肠粘膜下的小肠结合在一起。通过用两排缝合线缝合小肠瓣的侧边界进一步形成管。第一个包裹黏膜下层,第二个包裹对接的浆液性肌肉包裹。效果:能够形成are流吻合术。 2前

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