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- Title
A simple technique for circular-stapled Billroth I reconstruction in laparoscopic gastrectomy.
- Authors
Omori, T.; Nakajima, K.; Nishida, T.; Uchikoshi, F.; Kitagawa, T.; lto, T.; Matsuda, H.; Ito, T
- Abstract
A simple surgical technique that facilitates circular-stapled Billroth I gastroduodenostomy in laparoscopic distal gastrectomy is described. After standard laparoscopic mobilization of the distal stomach, a small duodenotomy is made just distal to the pyloric ring. The anvil of a circular-stapling device, secured with a Vicryl suture, is introduced via the duodenotomy. The Vicryl suture is advanced anteriorly so that a center rod penetrates the anterior duodenal wall. The duodenum is staple-transected at this point, and the center rod is wrapped with the stapled duodenal stump by approximation of both edges using a suturing device. The circular-stapled gastroduodenostomy then is completed in a standard fashion. The authors have used this technique for three patients, and their early outcomes are promising.
- Subjects
GASTRECTOMY; LAPAROSCOPY; GASTRODUODENOSTOMY; SUTURING; STOMACH surgery; MEDICAL care; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; RESEARCH; STAPLERS (Surgery); EVALUATION research; TREATMENT effectiveness; GASTROENTEROSTOMY; EQUIPMENT &; supplies
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2005, Vol 19, Issue 5, p734
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-004-8191-8