METHOD OF GASTRECTOMY WITH FORMATION OF INVAGINATED AREFLUX GASTRODUODENAL ANASTOMOSIS IN EXPERIMENT

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to abdominal surgery. Stomach is mobilized along the greater and lesser curvature. Method comprises resection of 2/3 of stomach with application of machine suture by Echelon 60 endopath apparatus, which is immersed with the second row of interrupted serous-muscular sutures not reaching 2–2.5 cm to greater curvature, forming "proboscis" of gastric stump. Proboscis is invaginated end-to-end in the duodenum and anchored with a single-row serous-muscular suture to form a papilla with an everted mucosa.;EFFECT: method provides partial evacuation of gastric contents into duodenum, eliminates bile reflux into stomach stump, thus prevents development of postoperative complications, is simple in technical implementation and less traumatic.;1 cl, 6 dwg, 1 ex