UA72087A - Technique for generating by-pass gastro-gastroanastomosis - Google Patents

Abstract

The technique for generating the by-pass gastro-gastroanastomosis comprises the median upper laparotomy, then the prepyloric part of the stomach is brought close to the anterior wall and the first row of the sero-serous sutures is applied throughput 5-7 cm. The anastomosed parts are dissected at the distance of 0.5 cm from the sutures applied, and the anterior and posterior labia of the anastomosis are sutures by the uninterrupted catgut suture. The further sero-serous interrupted silk sutures are applied onto the anterior labium of the anastomosis. The anterior wall of the upper third of the stomach is approached, and the upper and lower thirds of the stomach are finally dissected.

Description

Description of the invention

The invention belongs to medicine, namely to surgery, and can be used as a symptomatic operation 2 in the case of a tumor lesion of the middle third of the stomach.

A well-known method of gastroduodenostomy according to Darotsiau, taken by us as a prototype |1). The method consists in the fact that after an upper median laparotomy, the duodenum is mobilized according to Kocher and brought to the front wall of the prepyloric part of the stomach. The first row of gray-serous sutures is applied over a length of 5-7 cm. The lumens of the intestine and stomach are opened at a distance of 0.5 cm from the gray-serous sutures, and the back and front lips of the anastomosis 70 are sutured with a continuous catgut suture. A series of gray-serous knotted silk sutures are placed on the front lip of the anastomosis. But it has the following disadvantages: it cannot be used for tumor lesions of the middle third of the stomach;

Gastroduodenostomy is less physiological than gastrogastrostomy;

It is necessary to mobilize the duodenum according to Kocher, which is an additional injury; 19 The invention is based on the task of creating a method of forming a bypass gastro-gastro anastomosis, which ensures optimal removal of food in case of a tumor lesion of the middle third of the stomach.

The task is solved by the fact that in the method of forming a bypass gastro-gastro anastomosis, which includes an upper median laparotomy, bringing the front wall of the upper third of the stomach to the front wall of the prepyloric part of the stomach, applying the first row of sero-serous sutures for 5-7 cm, opening the lumens of the upper and the lower third of the stomach at a distance of 0.5 cm from the gray-serous sutures and suturing the back and front lip of the anastomosis with a continuous catgut suture, applying a number of gray-serous knotted silk sutures to the front lip of the anastomosis.

In fig. 1-2 shows the formation of a bypass gastro-gastro anastomosis.

The method is carried out as follows. After an upper median laparotomy, the front wall of the upper third of the stomach is brought to the front wall of the prepyloric part of the stomach. The first row of gray-serous sutures is applied "for 5-7 cm. The lumens of the upper and lower third of the stomach are opened at a distance of 0.5 cm from the gray-serous sutures, and the posterior and anterior lips of the anastomosis are sutured with a continuous catgut suture. A series of gray-serous knotted silk sutures are placed on the front lip of the anastomosis.

The advantages of the method of forming a bypass gastro-gastro anastomosis are that: - it ensures optimal removal of food in case of a tumor lesion of the middle third of the stomach; with

Gastrogastrostomy is more physiological than gastroduodenostomy; can be used for tumor lesions of the middle third of the stomach; o simpler performance technique; Ha

Example: Patient Lamina P.V., born in 1928. Case history Mo27887. She was in the department with Y5: Ca s/Z 3 o stomach 4th century. TAM2M'I1 (tiv in the liver), stenosis. 09/8/2003 - formation of bypass gastro-gastro anastomosis. in

Postoperative period without special features. Discharged in satisfactory condition.

Sources of information: 1. Stomach and duodenal surgery by A.A. Shalimov, V.F. Saenko, - "Health", Kyiv - 1972, - p. « ю 117. Z s PI z shchen

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Claims (1)

The formula of the invention is the method of forming a bypass gastro-gastro anastomosis, which includes an upper median laparotomy, 2 leads to the front wall of the prepyloric part of the stomach, applying the first row of sero-serosal sutures for 5-7 cm, opening the lumens at a distance of 0.5 cm from the sero-serosal sutures and suturing the back and front lip of the anastomosis with a continuous catgut suture, placing a series of gray-serous knotted silk sutures on the front lip of the anastomosis, which is distinguished by the fact that they bring up the front wall of the upper third of the stomach, open the lumens of the upper and lower third of the stomach. Official bulletin "Industrial Property". Book 1 "Inventions, useful models, topographies of integrated microcircuits", 2005, M 1, 15.01.2005. State Department of Intellectual Property of the Ministry of Education and Science of Ukraine. « cha Zo so «c) with m. - with . and? -I ime) («c) ge» SHY that 60 b5