Power restoration
A loop of jejunum is brought to the anterior wall of the stomach and connected with a linear stapler with a wide anastomosis (the window is closed with a suture); in case of tumors, the anastomosis is performed above the growth zone with a reserve. The very next day, drinking begins, by the time of discharge the patient eats soft food and gains strength for the main treatment - chemotherapy or radical surgery. Laparoscopy cuts hospital stays in half and reduces wound complications in malnourished patients; If technically impossible, a mini-laparotomy option is performed.
Indications
- tumor stenosis of the outlet of the stomach and duodenum - restoration of food passage;
- cicatricial pyloric stenosis after ulcers, burns when radical surgery is impossible;
- compression of the duodenum by a pancreatic tumor;
- preparation stage or palliative treatment for unresectable tumors.
Why is bypass anastomosis needed?
When the exit from the stomach is blocked by a tumor or scar, the patient cannot eat - exhaustion and vomiting quickly increase. Gastroenteroanastomosis connects the stomach with a loop of the jejunum, bypassing the obstacle: nutrition through the mouth is restored within 2–3 days. Laparoscopic performance is especially valuable in weakened patients - minor trauma, quick rehabilitation. Surgery may be the final palliative solution or a bridge to radical treatment once prepared.
Benefits of laparoscopy
Laparoscopic access is the standard of modern abdominal surgery: instead of a 10–20 cm incision, 3–4 punctures are left, the pain after surgery is much less, the patient gets up on the day of surgery and is discharged after 1–2 days, the risk of wound infection, hernias in the scar and adhesions is several times lower, and the enlargement of the camera allows you to operate more accurately. In the clinics below, operations are performed by surgeons with extensive laparoscopic experience; hospital (SKD) is included in the price according to the price list.
