Open AccessMETHOD OF FORMING OF RESERVOIR PANCREATOANASTOMOSIS IN PANCREATODUODENAL RESECTION
Author(s) -
G.М. Barvanyan
Publication year - 2016
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 7
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2016-175-2-90-93
Subject(s) - invagination , anastomosis , lumen (anatomy) , resection , medicine , complication , surgery , pancreas , small intestine , anatomy
The method based on formation of ileal reservoir with following invagination of pancreas stump inside it. A presence of the ileal reservoir with regulated vertical incision of the intestine excepted the possibility of compression of the pancreas stump by the intestine wall in glands invagination to the lumen. The method could be used in the existence of main risk factors: soft tissues of the gland and the diameter less than 3 mm. This means was applied in 19 patients. There was noted inconsistence of pancreatoanastomosis in 3 (15,8%) patients. One female patient died (5,3%). The reason of death wasn’t associated with features of anastomosis forming. The results obtained indicated about good preventive properties of the proposed pancreatoanastomosis in relation to complication development in case of unfavorable conditions for anastomosis formation.