Klinichna khirurhiia · 2012
[Gastrectomy with the intestinal reservoir formation as a method of prophylaxis of the main postgastrectomy complications].
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Oleksenko V V
Аннотация
In oncological clinic there was elaborated and introduced into the practice a new technology of a gut reconstruction in patients with gastric cancer while gastrectomy performance, which include the intestinal reservoir formation using first part of jejunum. Technology of the intestinal reservoir formation is not a complex one, the operative intervention time, in comparison to that in a standard loop reconstruction while gastrectomy performance, increases by (33.2 +/- 3.4) min, the blood loss volume constitutes (370.7 +/- 133.2) ml. Complications, occurring after intestinal reservoir formation, were not observed. Damping--syndrome of a mild degree have occurred in 4 (5.9%) patients. The gas bladder restoration have had secured a closure mechanism of the oesophagointestinal junction zone restoration, thus eliminating a reflux-oesophagitis occurrence. Suturing of the abducting flexure of a two-barrel jejunal loop eliminates the abducting intestinal loop syndrome occurrence. The quality of life index in 12 months postoperatively had constituted (82.9 +/- 2.2) points.