| 摘要 |
FIELD: medicine, surgery. ^ SUBSTANCE: one should dissect posterior wall of large intestine withdrawn onto the neck through retrosternal tunnel, in cross-sectional direction in vessel-free area at the distance being equal to the diameter of tracheal tube lumen. Then one should form anastomosis between the foramen obtained at posterior wall of large intestine and esophagus, form the lower lip of anastomosis with separate interrupted sutures with knots being inside the organs under suturing through all the layers, form the upper lip of anastomosis from the side of intestinal lumen of the end of large intestine after removing pre-applied uninterrupted suture. It is necessary to suture in intestinal end with a two-row suture at fixing it towards paraesophageal cicatricial tissues above anastomosis. The method enables to remove the chance for developing failed sutures of anastomosis and favors valuable local circulation in anastomosis' area. ^ EFFECT: higher efficiency of operation conducted. ^ 5 dwg, 1 ex |
