| 摘要 |
FIELD: medicine, abdominal surgery. SUBSTANCE: one should cross duodenum along the edge of hepatoduodenal ligament being below penetrating ulcer by keeping ulcerous niche. Additionally, one should cross duodenum being above penetrating ulcer and area of anatomic location of pancreatoduodenal artery. Affected duodenal segment is partially removed by leaving, moreover, the part of unaltered posterior wall round the ulcer. One should dissect both mucous and submucous layers in area of the present section. External muscular layer is kept. Duodenoplasty or gastric resection is carried out. EFFECT: decreased traumaticity of operation. 3 ex |
