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METHOD OF PANCREATODUODENAL RESECTION WITH LOCALLY ADVANCED PANCREATIC CANCER AND PERIAMPULLAR REGION WITH EXTENSIVE TUMOR INVASION OF THE MAIN VEINS OF THE MESENTERIC PORTAL SYSTEM
METHOD OF PANCREATODUODENAL RESECTION WITH LOCALLY ADVANCED PANCREATIC CANCER AND PERIAMPULLAR REGION WITH EXTENSIVE TUMOR INVASION OF THE MAIN VEINS OF THE MESENTERIC PORTAL SYSTEM
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机译:局部晚期胰腺癌行直肠十二指肠切除术,广泛侵犯肠系膜门系统主静脉的方法
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摘要
FIELD: medicine.SUBSTANCE: invention describes method for pancreatoduodenal resection in locally advanced pancreatic cancer and a periampullar region with extensive tumor invasion of the main veins of the mesenteric portal system. Perform a resection of the main trunk of the superior mesenteric vein to its two terminal veins of the small intestine, from which form a single anastomosis. Major veins of the mesenteric-portal system are reconstructed between a single joint of the two terminal veins of the superior intramural vein of the superior mesenteric vein and the portal vein formed by direct prosthesis using a synthetic prosthesis. Splenic vein, together with the inferior mesenteric vein, is sutured into the left renal vein.EFFECT: method allows to restore mesenteric-portal bloodstream, which is closest to the physiological, to reduce the duration and traumatism of the intervention.1 cl, 1 dwg, 1 ex
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机译:技术领域本发明描述了用于局部晚期胰腺癌和壶腹周围区域的胰十二指肠切除术的方法,该区域在肠系膜门系统的主静脉中广泛地侵袭肿瘤。将肠系膜上静脉的主干切除为小肠的两个末端静脉,从中形成单个吻合。肠系膜-门系统的主要静脉是在人工肠系膜上壁的上部壁内静脉的两个末端静脉的单个关节与由直接人工修复的人工合成的门静脉之间重建的。脾静脉与肠系膜下静脉缝合在左肾静脉中。效果:该方法可恢复最接近生理的肠系膜-门脉血流,以减少干预的时间和创伤。1cl,1 dwg,1 ex
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