The invention relates to medicine, namely to surgery, and can be used in the formation of pancreatogastrostomy after pancreatoduodenal resection regarding tumors in the pancreatic head, Vater papilla, distal choledochus, and chronic pancreatitis. After execution of step pancreatoduodenal resection apply different methods for incorporating the stump of the pancreas in the digestive tract. To reduce the risk of insolvency pancreatobiliary anastomoses and postoperative pancreatitis in the formation of pancreatoduodenectomies known methods decompression using the external-internal drainage or stenting Wirsung duct occured(1, 2, 3, 4). If in the recovery stage is pancreatogastrostomy, it is usually not drained or centerwide "lost drainage" (5).

The shortcomings of the existing methods are:

- high risk of postoperative pancreatitis;

- risk of insolvency of pancreatogastrostomy;

"lost drainage" then can be removed with fibrogastroscopy.

The problem to which the invention is directed, is to reduce the risk of insolvency of pancreatogastrostomy and postoperative pancreatitis by decompression VI is sungava duct silicone stent or catheter, easily removable in the postoperative period.

This object is achieved in that a method is proposed drainage pancreatogastrostomy when pancreatoduodenal resection, including the creation of decompression Wirsung duct occured using a silicone stent or catheter fixed in one of the anastomosis sutures internal number to be removed 7-10 days after knocking phenomena gastroschisis, while the end of the catheter or stent in the lumen of the stomach is fixed with nylon thread, the other end of which is brought out through the nose and is fixed to the wing of the nose, and after the resolution of the paralysis of the gastrointestinal tract stent or catheter nasogastric tube is removed by pulling it over the nylon thread.

When forming pancreatogastrostomy in Virunga duct is installed thin silicone catheter or stent length of 10-12 cm, which is fixed in one of the anastomosis sutures internal number. The end of the catheter with a length of about 5-7 cm is loose in the stomach and it tied nylon thread that is output by nasogastric probe out. The thread is fixed to the wing of the nose anchor suture or adhesive tape. In the postoperative period after resolution of paralysis of the gastrointestinal tract when pulling the thread drainage Wirsung duct occured freely removed.

The scheme drainage shown on the drawing. N the diagram shows the drainage anastomoses after pancreatoduodenal resection with preservation of the stomach and pylorus, where 1 is the drainage hepaticoenterostomy on Felker, 2 - drainage pancreatogastrostomy, fixed to nylon filament conducted nasogastric.

This option drainage pancreatogastrostomy accomplished in 6 patients. The drainage of the Wirsung duct occured freely removed at 7-10-day, only in one case it took out the treatment fibrogastroskopii the patient with a long gastrostomy. The proposed drainage option can be used not only when the pancreatoduodenal resections for malignant tumors, but also in the formation of various pancreato-gastro - and cystogastrostomy in chronic pancreatitis, wirsungolithiasis etc.

Sources of information

1. Garin, A., Bazin, I. pancreatic Cancer. M., 1999.

2. M.V. Danilov, the delegation B.C. the Choice of methods for reconstructive phase pancreatoduodenal resection of the re-operated patients // Surgery. 1981. No. 10. P.85-88.

3. M.V. Danilov, the delegation B.C., Vishnevsky, V.A. et al. Methodology pancreatoduodenal resection and total duodenopancreatectomy//Surgery. 1990. No. 10. S-100.

4. A.A. Shalimov Surgical treatment of patients with cancer of the pancreatic head and pancreatoduodenal zone//Ann. The surgeon. Gepatol. 1996. T.I. No. 1. Pp.62-66.

5. Kubyshkin VA, Vishnevsky, VA pancreatic Cancer. M., 2003.

the manual drainage pancreatogastrostomy when pancreatoduodenal resection, including decompression of the Wirsung duct occured using a silicone stent or catheter, wherein the stent or catheter is fixed in one of the anastomosis of the internal seams of the series, the free end of the stent or catheter is freely fitted in the stomach and tied to nylon filament produced from the nose, and after 7-10 days the stent or catheter is removed by pulling it over the nylon thread.