[Methods of spleno-pancreato-gastrectomy]

The method of pancreatogastrectomy for carcinoma of the stomach is discussed on the basis of clinical experience (115 operations) and anatomical (192 anatomical specimens) and experimental (36 dogs) studies. The authors describe the techniques of the surgical approach reversible mobilization of organs, choice of the optimal level of pancreas resection with maintenance of adequate blood circulation in the stump, treatment of the stump by means of the round ligament of the liver, and drainage of the abdominal cavity. With the use of these techniques the mortality after this operation reduced from 20% to 8%.