RU98100947A

RU98100947A - METHOD FOR PANCREATOEUNOANASTOMOSIS IN PANCREATODUODENAL RESECTION

Info

Publication number: RU98100947A
Application number: RU98100947/14A
Authority: RU
Inventors: В.В. Ершов; А.Д. Рыбинский; М.В. Кукош
Original assignee: Военно-медицинский институт Федеральной пограничной службы Российской Федерации при НГМА; Нижегородская государственная медицинская академия; В.В. Ершов
Filing date: 1998-01-20
Publication date: 1999-12-10

Claims

A method for pancreatojejunoanastomosis for pancreatoduodenal resection, including the formation of a loop of the small intestine, suturing of one end of the loop of the small intestine, stitching of the mobilized pancreatic stump with a previously opened lumen of the loop of the small intestine, followed by covering the anastomosis zone with sections leading and leading away from the loop the fact that the suturing of the adducting loop of the small intestine is performed tightly, the adducing loop is intersected below the sutured section, from the sutured loop and the small intestine form an arc with a diameter larger than the diameter of the pancreatic stump, before stitching the mobilized pancreatic stump with a previously opened lumen of the small intestine, in the avascular section of the mesentery of the small intestine, forming an arc, a “window” is cut through which the pancreas are pulled over the stump the edges of the capsule of the holder and fix the stump of the pancreas around the capsule of the gland to the edges of the "window" of the mesentery and serosa of the intestine, hemming the leading end of the intestine to the outlet circularly into the circle of the stump of the gland, and the subsequent shelter is carried out by stitching the serosa of the leading and abducting loops of the small intestine over the anastomosis without trapping the pancreatic tissue.