SU1533662A1 - Method of stomach resection - Google Patents

Abstract

The purpose of the invention is to reduce the morbidity of the operation during resection of the distal stomach with the formation of pulp from the jejunum. Create a double-barreled shotgun from the small intestine. A gastrojejunostomosis with a diverging shotgun is laid, and the proximal knee is located proximal to the anastomosis. Then, the anastomosis and the stump of the stomach are wrapped with the apex of the double-barreled gun and fixed to the stomach stump, which leads to and leads to the double-barreled knees, thereby creating a pulp. 3 il.

Description

The invention is immature and medical, in particular to an abdominal surgeon, and can be diagnosed in the treatment of a more severe stomach and dyspnea gut

The purpose of the surgery is to reduce the trauma of surgery.

The goal is achieved by the fact that during cutting G1 i, feed the loop of the small intestine in either i dv ii iso i and nakdashvakn infooeup anastomosis on its retractable knee, and when I have it, the knee has a proximal anastomnine, then the anastomosis and the stump of the stomach envelop the apex besides, its fixed cells are located on the ice of the lake from the water and the leading tribes of two ii wolves

Fig 1 shows the formation of IBM GVO.1KI. ma fsh 2 on yaup iuno neuroanastomous already with eductor 1 en IB CIBOIKH, on fs 3 formation of pulp i

Example Bo 1NV, 43 leg, uianioi decompensated canal stenosis of the ulcer E1IOLOP1I A mid-medial laparotomy plane, pentametomy resection of the stomach, was produced. The duodenum is stitched with a PP, cut off, the noipx- wife has a purse-string suture. The first loop of the jejunum is held in front of the colon.

A single seam was created with the help of single sutures, the gallbladder was perpendicularly laid and fixed with ocular sutures (formed for P1IaA anastomosis, after which a dilator of the hollow organ was adhered to the anastomosis area, the required diameter (1.5–2.0 cm ), anterior anastomosis is formed. Next, the end of the shotgun is fixed to us by single stitches to the resulting collar, thereby securing the pulp on the gastric stump. Extend it with the floor of the organ far away. Injured anterior abdominal wall

The method was applied in 27 patients. Positive affect in the near and distant periods was confirmed by clinical findings. 101 of them were recommended. It was recommended for practical use.

Formula juoretsnich

(lyusob resection of the yellow, involving the stitching of the duodenal ulcer, imposition and end of the side in the side and the formation of the pulp in the intestine, analem t with the stomach from the lumenpich i h so that. i aim i decrease rp.uma i IIMHOI So on, stitch the loop of the jejunum in the form of 1c (.two s yyayut anaiioMiM

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Claims (1)

Claim A method of gastric resection, including suturing of the duodenal stump, imposing end-to-side gastrojejunastomosis, with the formation of pulp from a loop of the intestine anastomosing with the stomach, characterized in that, in order to reduce the invasiveness of the operation, the jejunum loop is sewn in the form of a double-barrel, anastomosis is applied SU ... 1533662 is shrouded in the apex of the double-collar, while it is fixed to the cult of the stomach, the abducting and adducting knees with the abducting knee, and the adducting knee is proximal to the anastomosis, then the anastomosis and the gastric stump of the shotgun,