METHOD OF APPLYING ANTIREFLUX CHOLEDOCHOJEJUNOANASTOMOSIS

摘要

FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to surgery. Terminolateral choledochojejunoanastomosis is formed. Isolated by Roux small loop of small intestine is placed behind transected and mobilised choledoch. Stump of jejunum is oriented in medial direction. Single-row choledochojejunoanastomosis is formed with 7-8 cm indent from intestine stump. Choledochojejunoanastomosis is invaginated into jejunum by means of two semi-purse-string serous-muscular sutures. Serous membrane of intestine is fixed to choledoch wall with separate interrupted sutures. Region of formed anastomosis is covered from the front with stump of intestine, fixed to anterior wall of intestine by means of interrupted serous-muscular sutures more laterally than zone of anastomosis and to choledoch wall on line of its adjoining duct with several interrupted sutures.EFFECT: method ensures prevention of reflux of intestinal content into choledoch.1 ex, 4 dwg