Improved methods of antistenosis “end to end” anastomosis in gastric surgery
DOI:
https://doi.org/10.11603/2414-4533.2016.3.6798Abstract
On 21 human body organocomplexes there were developed the technique of different options of antistenotic “end to end” anastomosis, which were successfully introduced into clinical practice in traditional and tubular stomach resections (TSR) (Fig. 1): 1) with angulate (angular) excision of walls of anastoming organs (5 cases), Fig. 1, a; 2) with S-shaped excision of anastoming edges (5 cases), Fig. 1, б; 3) with arched excision of edges (5 cases), Fig. 1, в, which allowed us to test in clinic these experimental developments with the study of state vascular-neurocell microcomplexes of intramural ganglia of intramuscular nerve plexus of walls of gastric stump on the capillary-neurocell level in different long term after wedge-tubular resections (WTLR) of 1/3 and 2/3 of the stomach restoration with different versions of the gastrointestinal tract. The effectiveness of developed methods of operations was confirmed.
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