Erschienen in:
01.05.2005 | Original article
A simple technique for circular-stapled Billroth I reconstruction in laparoscopic gastrectomy
verfasst von:
T. Omori, K. Nakajima, T. Nishida, F. Uchikoshi, T. Kitagawa, T. Ito, H. Matsuda
Erschienen in:
Surgical Endoscopy
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Ausgabe 5/2005
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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.