Nazarenko Petr Mikhajlovich (RU),Назаренко Петр Михайлович (RU),Nazarenko Dmitrij Petrovich (RU),Назаренко Дмитрий Петрович (RU),Loktionov Aleksej Leonidovich (RU),Локтионов Алексей Леонидович (RU),Ma
申请号：
RU2018108073
公开号：
RU0002698873C1
申请日:
2018.03.05
申请国别(地区):
RU
年份:
2019
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to surgery, and can be used to form hepaticojejunostomy with high bile duct injury. Drainage chlorovinyl tube with diameter of 5 mm is inserted through a free end of the stump of the mobilized intestine and fixed first with a catgut suture, and then with continuous two semi-cartridges. Then, 5–6 cm from the plugged end of the intestine is made, a wall of a mobilized intestine is cut 4 cm long to a submucosal layer. Thereafter, the vessels in the submucosal layer are sutured with the catgut on one and the other side. Intestinal lumen is opened between the rows of applied sutures. Medial angle of the opened lumen of the intestine is then anchored to the round ligament of the liver with long-term absorbable sutures. Further, with a continuous blanket suture, the posterior lip of the intestine behind the hepatic ducts is anchored to the connective tissue structures of the hepatic ligament, the lateral angle of the opened lumen of the jejunum is anchored to the gall bladder bed at the junction of the sagittal sulcus with the lateral ligament. Then anterior lip of jejunum is hemmed in front of hepatic ducts by sutured suture to edge of transverse furrow and tightened suture on round ligament of liver. In the end seromuscular sutures are laid between a Y-shaped loop in the liver gates and separate cicatrical structures.EFFECT: method enables avoiding the complications associated with injuries of the biliary duct system.1 cl, 4 dwgИзобретение относится к медицине, а именно к хирургии, и может быть применимо для формирования гепатикоеюноанастомоза при высоком повреждении желчных протоков. Через свободный конец культи мобилизованной кишки вводят дренажную хлорвиниловую трубку диаметром 5 мм и фиксируют ее сначала кетгутовым швом, а затем непрерывными двумя полукисетами. Далее отступя 5-6 см от заглушенного конца кишки, делают разрез стенки мобилизованной кишки длиной 4 см до подслизистого слоя. После этого кетгут
