METHOD OF FORMING END-SIDE OESOPHAGEAL-GASTRIC ANASTOMOSIS AFTER PROXIMAL STOMACH RESECTION

摘要

FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to surgery. An end-side oesophageal-gastric anastomosis is formed after proximal stomach resection. A transverse linear cut is made on the back wall of the stomach stump. The stomach wall is invaginated and brought out in its stump lumen. An oesophagus stump is pulled through the serous channel. The anastomosis is formed by microsurgical single-row continuous submucous-muscular-serous suture on the stomach and adventitial-mucous-submucous suture on the oesophagus. In the base of the created 1-1.5 cm long invaginate the oesophagus is fixed to the stomach wall with four serous-muscular and adventitial-muscular sutures. The gastric stump is sewn with double-row continuous microsurgical suture.EFFECT: method makes it possible to form in experiment the oesophageal-gastric anastomosis, possessing simultaneously sphincter and valve properties due to the invagination of the anastomosis into the stomach lumen.2 ex, 6 dwg