| 摘要 |
FIELD: medicine, surgical pancreatology. ^ SUBSTANCE: the loop of small intestine should be digestion-free, laterally at the loop one should circularly dissect and remove serous-muscular membrane of 15 mm width to direct intestine through mesenteric foramen of cross-colonic intestine to bring the loop towards pancreas, catheterize the stump of pancreatic duct with the help of the "lost" drainage, form the foramen in mucous-submucous intestinal layer, intestinal and pancreatic stumps should be anastomosed in angles with sutures coming through the edge of serous-muscular membrane on small intestine and through pancreatic capsule leaving about 20-25 mm against the edge. Then one should invaginate pancreatic stump into small intestinal lumen due to applying internal and external rows of sutures. External suture should be applied by leaving about 15-20 mm against internal row of sutures for the depth of invaginate. The innovation provides physiological pancreatic hypofunction accompanied with inconsiderable traumatism of pancreatic tissue. ^ EFFECT: higher efficiency. ^ 1 dwg, 1 ex |
