METHOD DRAINAGE AREAS IN PANKREATIKOGASTROANASTOMOZA pancreatoduodenectomy

摘要

1. A method for drainage area at pankreatikogastroanastomoza pancreatoduodenectomy, comprising removing the head of the pancreas and body, duodenal ulcer, gastric resection, the terminal part of the common bile duct, are sequentially formed pankreatikogastroanastomoz, terminolateralny gepatikoeyunoanastomoz and terminolateralny gastroeyunoanastomoz, characterized in that it further through a separate incision in the left side section abdominal injected into the abdominal cavity drainage tube and through a separate opening in the mesentery n operechnoy colon fed to zone posterior lip pankreatikogastroanastomoza, laid drainage tube behind the stump of the stomach, and the end of the latter located immediately beneath the rear outer close pankreatigogastroanastomoza seams, and after the drain tube form a sealed cavity around pankreatikogastroanastomoza by "plugging" the front lip pankreatikogastroanastomoza wall of the jejunum, Summing for terminolateralnogo gastroeyunoanastomoza, and greater curvature of the transverse rim hydrochloric intestine at the lesser curvature stomach mesentery sutured to the jejunum loop drawn to the stump of the common hepatic duct to form terminolateralnogo gepatikoeyunoanastomoza.2. A method according to claim 1, characterized in that the shaped sealed cavity formed by the following walls:. Front - rear wall gastric stump and terminolateralnogo gastroeyunoanastomoza, rear - stump pancreas, the bottom - of the transverse colon with mesentery upper - gastric bottom right sealed cavity is delimited the mesentery