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首页> 外国专利> METHOD OF SURGICAL TREATMENT OF DUODENAL FISTULA IN CASE OF FAILURE OF STOMACH RESECTION STUMP AND GASTRECTOMY

METHOD OF SURGICAL TREATMENT OF DUODENAL FISTULA IN CASE OF FAILURE OF STOMACH RESECTION STUMP AND GASTRECTOMY

机译：胃切除术和胃镜手术失败的十二指肠瘘的外科治疗方法

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FIELD: medicine.;SUBSTANCE: invention relates to surgery and can be applied for treatment of duodenal fistula in case of failure of stump after stomach resection and gastrectomy. At the first stage fistula is excised and resection of duodenum stump is performed, drainage of ductal system of pancreas and common bile duct is carried out, removal of pancreatic juice and bile outside and their recuperation into digestive system is performed by means of nasointestinal probing. At the second stage medial resection of pancreas is carried out, separate drainage of ductal system of proximal and distal stump of pancreas is performed, single-row choledochoduodenoanastomosis of "end-to-end" type is formed, two pancreaticoenteroanastomoses of loop-end structure are formed with external removal of pancreatic secretion from zone of pancreaticoenteroanastomoses for the period of anastomoses healing.;EFFECT: method makes it possible to prevent dehydration and electrolyte and protein imbalance, reduce risk of purulent-inflammatory complications.;1 ex, 4 dwg
机译：胃切除和胃切除术后残端失败的十二指肠瘘的治疗方法在第一阶段，切除瘘管并切除十二指肠残端，对胰脏和胆总管的导管系统进行引流，通过鼻肠探查将胰液和胆汁外移至消化系统中。在第二阶段进行胰腺内侧切除术，对胰腺的近端和远端残端的导管系统进行单独的引流，形成“端对端”型的单行胆总管十二指肠吻合术，两个环形末端结构的胰腺肠膜吻合口形成是通过在吻合口愈合期间从胰腺肠胃吻合区外部清除胰腺分泌物形成的;效果：该方法可以防止脱水，电解质和蛋白质失衡，减少化脓性炎症并发症的风险。1ex，4 dwg

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