BOHOMOLETS NATIONAL MEDICAL UNIVERSITY;NATSIONALNY INSTITUT CANCER
发明人:
Schepotin Ihor Borysovych,Lukashenko Andrii Volodymyrovych,Kolesnyk Olena Oleksandrivna,Pryimak Viktor Vasyliovych,Burlaka Anton Anatoliiovych,Zhukov Yurii Oleksandrovych
申请号：
UAU201408051
公开号：
UA95875U
申请日:
2014.07.16
申请国别(地区):
UA
年份:
2015
代理人:
摘要：
A method for performing pancreatoduodenectomy in children comprises the release of gastropankreatoduodenal complex and completion of the reconstruction phase of the operation, namely the formation of pancreatojejunoanastomy, hepaticojejunostomy and gastroenteroanastomosis. Instead of the standard nasogastric intubation microgastrostomy is installed on a patient according to the following technique: 8 cm proximal of gastroenteroanastomosis formed on the front wall of the stomach a hole 5 mm in diameter is made at a level distance of both the small and the large curvature of the stomach. Further, a nasogastric tube of 5 mm diameter is inserted in the stomach to a depth of 6 cm. Purse string suture is applied to a hole in the stomach and tightened, then the probe is dipped into the anterior wall of the stomach to the length of 4 cm by stitching a loop suture by Witzel method. The probe is then led to the anterior abdominal wall in the left upper quadrant and fixed to the skin, on the inner side the intestinal wall is fixed in counteropening zone with 4 additional interrupted sutures； in the course of postoperative care, the residue in gastric stump is controlled by washing twice a day via a microgastrostomy installed. The probe will not be removed earlier than on the 5th day providing there is no residue in the gastric stump； to remove the probe the suture fixing the probe to the skin is cut, the probe is then taken out and a sterile bandage is applied to the counteropening.Способ выполнения панкреатодуоденальной резекции у детей включает выделение гастропанкреатодуоденального комплекса и завершения реконструктивного этапа операции, а именно формирование панереатоеюноанастомоза, гепатикоеюноанастомоза и гастроентероанастомоза. Вместо проведения стандартной назогастральный интубации пациенту выполняют микрогастростомию по следующей технике: на проксимальнее сформированного гастроентероанастомоза по передней стенке желудка выполняют отверстие в диаметре на ровном расстоя
