首页> 外国专利> METHOD OF GASTROPANKREATODUODENAL RESECTION IN MALIGNANT TUMORS OF HEAD AND UNCINATE PROCESS OF PANCREAS WITH TUMOR INVASION OF SUPERIOR MESENTERIC VEIN

METHOD OF GASTROPANKREATODUODENAL RESECTION IN MALIGNANT TUMORS OF HEAD AND UNCINATE PROCESS OF PANCREAS WITH TUMOR INVASION OF SUPERIOR MESENTERIC VEIN

机译:头部恶性肿瘤恶性肿瘤的胃炸室再生切除方法,胰腺肿瘤肠道肠道肠道侵袭

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to oncology. A single block with a gastro-pancreaticoduodenal complex with an inferior mesenteric vein is excised in conditions of complete blood flow arrest. A distal end of the superior mesenteric vein transversally crosses, the proximal end - the portal vein confluence intersecting obliquely at angle of 60-70° with resection of the right confluent wall and preservation of the splenic vein mouth. That is followed by reconstructing the superior mesenteric vein by prosthetics with a synthetic prosthesis; the diameter of the prosthesis is selected according to the diameter of the superior mesenteric vein within the resection area. An end-to-end distal end-to-end anastomosis is first applied between an upper mesenteric vein and a prosthesis, then an oblique anastomosis between the prosthesis and the portal vein confluence with preservation of the splenic vein mouth. Clamps with portal, splenic and superior mesenteric veins are used to remove and restore blood flow.;EFFECT: method enables reducing the risk of narrowing in the proximal anastomosis, venous thrombosis in the vascular reconstruction area, avoiding the use of autovein, reducing time and traumatism of the surgical intervention.;1 cl, 1 ex, 2 dwg
机译:现场:药物。物质:发明是指药物,即肿瘤学。在完全血流骤停的条件下,切除具有胃胰腺癌复合物的胃胰腺癌复合物的单个块。横向横跨近端 - 近端 - 门静脉汇合倾斜地与60-70°的角度相交的门静脉汇率与右侧汇合墙和脾静脉口的保存相交。随后是通过具有合成假体的假肢重建优质肠系膜静脉;根据切除区域内的上肠系膜静脉的直径来选择假体的直径。首先在上肠系膜静脉和假体之间施加端到端的远端到末端吻合术,然后是假体与门静脉汇合之间的倾斜吻合,保存脾静脉口。用门户,脾和上肠系膜静脉夹具用于去除和恢复血流。;效果:方法可以降低血管重建区域近端吻合,静脉血栓形成的风险,避免使用Autove,减少时间和手术干预的创伤。1 CL,1 EX,2 DWG

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