[The use of a new method for the restoration of duodenal passage following the partial extirpation of its wall in treating locally advanced tumors of the right half of the colon].
When excision of the tumor infiltration of the duodenum is followed by formation of a small defect, the authors apply a personal modification of two-story suture. Then the duodenal suture is fully covered with the serosa of the small-intestinal loop. Thus the suture is hermetically sealed and remains in a relative rest. When a large defect remains after excision of the tumor infiltration of the duodenum, a short jejunal loop is taken and a longitudinal section is made on it of equal length with that of the duodenal defect. Laterolateral anastomosis is made between the duodenal defect and the jejunum. Brown's anastomosis is made somewhat distally from the duodenojejunostomy. In this way the duodenum is not narrowed, the tissues are sutured without any tension and postoperative duodenal stasis is minimal. The first variant of the method was applied in 3 patients and the second in 3 patients with very good postoperative result.
Dimitrov
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Dudunkov
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D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D003082:Colectomy / Q000379:methods; D003110:Colonic Neoplasms / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques
Prilozhenie na nov metod za vŭzstanoviavane na duodenalniia pasazh sled partsialna ekstsiziia na stenata mu pri lechenie na lokalno avansirali tumori na diasnata polovina na kolona.