The invention relates to medicine, namely to Oncology, and can be applied in the surgical treatment of tumors biliopankreatoduodenalnyj zone.

There is a method of drainage of pancreatic duct, consisting in the following: after crossing the pancreas in the neck area and remove the pancreatoduodenal complex shear gland discover the main pancreatic duct and inkubiruut his tube of smaller diameter to a depth of approximately 3 see then perform a thorough hemostasis by lacing bleeding vessels thin filaments. For sealing of the pancreas using a strand of omentum or modify an isolated loop of intestine without opening its lumen (M.V. Danilov, Global VP, Shrubs AU, Myl'nikov, A.G. "a two-stage treatment of the stump of the pancreas when pancreatoduodenal resection". Annals of surgical Hepatology. - 1998.- volume 3, No. 2, p.51-58).

The above method has a significant drawback. The method does not allow for the possibility of introducing through the drainage tube of drugs directly into the pancreatic duct. The method does not allow wash drainage in the postoperative period.

As the prototype was selected mapping method pancreatojejunostomy, consisting in the formation of terminater inogo of pancreatojejunostomy with precision stitches on the mucous membranes of pancreatic duct and the intestine. Fistula is formed on a thin drainage tube installed in the pancreatic duct and the inferred through microanatomy out (M.V. Danilov, Fedorov E, "Re and reconstructive surgery for diseases of the pancreas". M: "Medicine", 2003, s).

However, this method has significant drawbacks. The method does not involve controlled irrigation drainage tube when it becomes clogged with clots formed in the duct of the pancreas. The method does not involve the administration of drugs directly into the lumen of pancreatojejunostomy. The method does not involve drainage area directly fistula and when the pressure in the area of anastomosis, in the resolution of postoperative paresis, does not prevent the insolvency of the seams.

The aim of the invention was reliable drainage of the pancreatic duct, warning his obstruction in the postoperative period.

This goal is achieved by the fact that at the stage of formation of pancreatogastrostomy in advanced pancreatic duct enter pugovicy probe at a distance of not less than 4-5 cm, cut on the probe tissue of the pancreas, hatch end Pugacheva probe outwards, towards the end of the probe is fixed with a silicone drainage tube diameter, sootvetstvuyuschuyu duct, take the probe out, holding the silicone tubing through the tissue of the pancreas, impose pancreatic anastomosis, come the end of the tube draining pancreatic duct in the area of pancreatic fistula, the free end of the silicone tube output on the skin, fix, in the postoperative period continuously drip cooled solution of silicone drainage tube, produce breeding pancreatic juice, reducing its activity.

The invention of "a Method of preventing insolvency pancreatic fistula is new, because it is unknown the level of medicine in the field of Oncology in the surgical treatment of cancer of the pancreas.

The novelty of the invention lies in the fact that silicone drainage tube is placed through the pancreatic duct as in anastomosing with duct to the small intestine, and pancreatic tissue on the skin.

The invention is industrially applicable, as may be repeatedly reproduced and applied in health care, in hospitals specialized profile in General and specialized cancer hospitals.

The method is as follows.

During the pancreatoduodenal resection, at the stage of forming pancreatitia is ascomata in advanced pancreatic duct enter pugovicy probe at a distance of not less than 4-5 see Cut to probe the tissue of the pancreas. Take the end Pugacheva probe outwards, towards the end of the probe is fixed with a silicone drainage tube diameter corresponding to the diameter of the duct. Take the probe out, holding the silicone tubing through the tissue of the pancreas. Impose pancreatic anastomosis. Come the end of the tube draining pancreatic duct in the area of pancreatic fistula, the free end of the silicone tube output on the skin fix. In the postoperative period continuously drip cooled solution of silicone drainage tube, produce breeding pancreatic juice, reducing its activity.

Example

A patient With s, 65, № East. disease 1684/t, entered the Rostov cancer research Institute 12.05.2004 was diagnosed with Cancer of the pancreatic head for surgical treatment. After removal of the pancreatoduodenal complex at the stage of formation of pancreatoblastoma in advanced pancreatic duct was introduced pugovicy probe at a distance of not less than 4-5 cm, was cut on the probe tissue of the pancreas, brought an end to Pugachevo probe outwards, towards the end of the probe is recorded silicone drainage tube diameter corresponding to the diameter of the duct, took the probe out, spent silicone trunk is through the tissue of the pancreas, put the pancreatic anastomosis, placed the end of the tube draining pancreatic duct in the area of pancreatic fistula, the free end of the silicone tubing is brought to the skin, recorded in the postoperative period was carried out by continuous drip cooled solution of silicone drainage tube, producing a breeding pancreatic juice, reducing its activity. The patient was discharged on the 19th day in a satisfactory condition.

Technical and economic efficiency of the method is that in the surgical treatment of tumors biliopankreatoduodenalnyj zone is able to carry out constant drip of the solution in the drainage that reduces the activity of pancreatic juice. This allows prevent failure of pancreatic fistula, which allows you to save the life of the patient, improves the quality of life, reduces bed-day.

The way to prevent insolvency of pancreatogastrostomy when pancreatoduodenal resection, including drainage of pancreatic duct with silicone tube, characterized in that the step of forming pancreatogastrostomy in advanced pancreatic duct enter pugovicy probe at a distance of not less than 4-5 cm, cut on the probe tissue of the pancreas, the output end of holcatova probe out, by the end of the probe is fixed with a silicone drainage tube diameter corresponding to the diameter of the duct, take the probe out, holding the silicone tubing through the tissue of the pancreas, impose pancreatoduodenectomies, come the end of the tube draining pancreatic duct in the area of pancreatogastrostomy, the free end of the silicone tube output on the skin, fix, in the postoperative period continuously drip cooled solution of silicone drainage tube.