[The method of miniinvasive operation for varicosely-changed veins of gastric fundus]

The laparoscopic operation method was elaborated for prophylaxis arrest of hemorrhage, originated from varicosely-changed (VCH) veins of gastric fundus. Dissection and clipping of a. gastri-ca sinistra is performed and VCH gastric vein is transsected. After gastric fundus mobilization a laparoscopic suturing apparatus is applied on him and the fundus became resected. Additionally the sutures made of nonabsorbable threads are applied above the mechanical sutures line. The method was applied in 2 patients, suffering VCH gastroesophageal veins. Application of the proposed operative intervention method have permitted to reduce significantly the occurrence rate of purulent-septic complications. While follow-up prolong 24 - 30 months the hemorrhage recurrence was not revealed. Application of modem videoendoscopic methods of operation for VCH gastric veins permits to improve significantly the operation results and safety, to reduce the patients stationary treatment time.