clinmedКлиническая медицинаClinical Medicine (Russian Journal)0023-21492412-1339ООО «Медицинское информационное агентство»10.30629/0023-2149-2021-99-3-228-233clinmed-220Research ArticleИСТОРИЯ МЕДИЦИНЫHISTORY OF MEDICINEРеконструкция по Ру в абдоминальной хирургии: историческая ретроспектива эволюции оперативного приема. Часть 2Y-en-Roux reconstruction in abdominal surgery: historical retrospective of operative method’s evolution. Part IIhttps://orcid.org/0000-0003-3102-9626ЕвсеевМ. А.EvseevM. A.

121352, Москва

121352, Moscow

https://orcid.org/0000-0002-1594-4704ФоминВ. С.FominV. S

Фомин Владимир Сергеевич - канд. мед. наук, доцент кафедры хирургических болезней и клинической ангиологии

127473, Москва

Fomin Vladimir S. - MD, PhD, Associate Professor of the Department of Surgical Diseases and Clinical Angiology

127473, Moscow

wlfomin83@gmail.comhttps://orcid.org/0000-0002-9649-9146КлишинИ. М.KlishinI. M.

121352, Москва

121352, Moscow

https://orcid.org/0000-0002-2696-4997ЕвсеевА. М.EvseevA. M.

119991, Москва

1119991, Moscow

ФГБУ «Клиническая больница №1 (Волынская)» Управления делами Президента РФРоссияClinical Hospital №. 1 (Volynskaya) of the Presidential Administration of the Russian FederationRussian FederationФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова»РоссияMoscow State Medical and Dental University named after Evdokimov A.I.Russian FederationФГБОУВО «Московский государственный университет имени М.В. Ломоносова»РоссияLomonosov Moscow State University, Leninskiye GoryRussian Federation202115092021993228233Copyright © Евсеев М.А., Фомин В.С., Клишин И.М., Евсеев А.М., 20212021Евсеев М.А., Фомин В.С., Клишин И.М., Евсеев А.М.Evseev M.A., Fomin V.S., Klishin I.M., Evseev A.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.clinmedjournal.com/jour/article/view/220

Целью настоящего исторического очерка является не столько констатация фактов и хронологии создания Y-образной реконструкции пищеварительной трубки, сколько раскрытие основных причин уникальной востребованности методики, предложенной A. Wölfl er, E. Doyen и C. Roux почти 140 лет тому назад. В работе представлена историческая ретроспектива рождения теоретической концепции, экспериментального подтверждения и первых опытов клинического применения методики Y-реконструкции пищеварительной трубки на Ру-петле, а также этапы ее совершенствования и эволюционирования с конца XIX века до настоящего времени. Труды основоположников хирургической гастроэнтерологии, онкологии, панкреатологии и гепатобилиарной хирургии с течением времени расширили диапазон применения реконструкции по Ру от дистальной резекции желудка и гастроэнтеростомии до гастрэктомии, повторных операций на верхнем отделе пищеварительной трубки, формирования билиодигестивных и панкреатикодигестивных анастомозов, использования в практике бариатрической хирургии.

This historical review is more focused on the analysis of highly relevant, unique method proposed by A. Wölfl er, E. Doyen and C. Roux more than 140 years ago. We also try to present main facts and the chronology of Y-reconstruction of the digestive tube concept’s development. Hereby we present historical retrospective of theoretic concept creation, experimental confi rmation and initial clinical experience of Y-shaped reconstruction of the digestive tube on Roux-en-Y-loop, stages of concept evolution and development from the end of the 19th century and continuing into current times. Scientifi c research of surgical gastroenterology, oncology, pancreatology and hepatobiliary surgery founders, expand application of Roux-en-Y-reconstruction from distal resection of the stomach and gastroenterostomy to gastrectomy, repeated operations on the upper part of the digestive tube, the formation of biliary-enteric and pancreatic anastomosis, and the use in the routine practice of bariatric surgery.

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The authors declare that there are no conflicts of interest present.