METHOD OF HEPATICOJEJUNOSTOMY

摘要

FIELD: clinical surgery. SUBSTANCE: method appropriate to use in treatment of diseases and traumatic injuries of out-of-liver biliary ducts consists in the following. Anastomosis is applied between small intestine and common hepatic duct. Simultaneously, rectangular flap facing mesentery by its basis is cut from intestinal wall in transverse direction. Antimesenteric border of flap is demucoused to under-mucous basis over the space of 2 mm. Anastomosis is applied in end-to-end manner by one-row microsutures. Antimesenteric border of flap is sutured along circle line of common hepatic duct. Joining layer of duct and serous- muscular encasement with under-mucous basis of small intestine on demucousation area are entrapped in suture. Tube is further formed by suturing side borders of small intestine flap with two rows of sutures. The first one entraps under-mucous basis, and the second one serous-muscular encasement in butt manner. EFFECT: enabled formation of areflux anastomosis. 2 ex