[Method of formation of terminolateral pancreatojejunal anastomosis in gastropancreatoduodenal resection].
The author describes his method of the formation of pancreatojejunal anastomosis in gastropancreatoduodenal resection, which allows reducing the risk of the development of postoperative pancreatitis and incompetent amastomosis. This method was used in 5 patients with tumors of the pancreas head, major duodenal papilla, and duodenum. The patients had no complications in the postoperative period. The method of the formation of terminolateral pancreatojejunal anastomosis including drainage of the pancreatic duct with microdrainage, fixed in the area of anastomosis, and closure of the opening in the intestine with a simultaneous suturing of the intestine wall to the pancreas by the S-shaped semi-purse-string suture with an atraumatic filaments should be preferably used for the loose tissue of the pancreas and its narrow (not more than 3 mm) duct.
Polysalov
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D003131:Combined Modality Therapy; D004379:Duodenal Neoplasms / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000379:methods*