Doroshevskiĭ Iu L
Vestn Khir Im I I Grek. 1978 Feb;120(2):92-7.
The systematization of malrotations according to their morphological patterns depending on topographic peculiarities of the duodenum and colon permits to ascertain an anatomical variant of the malformation in each case, which helps to make an adequate choice of the procedure of surgical correction. The author is convinced that in time of operation for any type of fixation and rotation abnormality it is necessary to explore the whole intestine, to evaluate the status and development of the superior mesenteric artery, to free the duodenum from abdominal formations along the outside curvature and to relieve the tissue pressure from the vessels of the pathologically developed mesentery.
根据十二指肠和结肠的地形特点,按照其形态模式对旋转不良进行系统化分类,有助于确定每种情况下畸形的解剖变异,这有助于对手术矫正程序做出适当选择。作者坚信,在对任何类型的固定和旋转异常进行手术时,有必要探查整个肠道,评估肠系膜上动脉的状况和发育情况,沿外侧弯曲将十二指肠从腹部结构中游离出来,并减轻病理发育的肠系膜血管的组织压力。