• Surgical endoscopy · May 2005

    A simple technique for circular-stapled Billroth I reconstruction in laparoscopic gastrectomy.

    • T Omori, K Nakajima, T Nishida, F Uchikoshi, T Kitagawa, T Ito, and H Matsuda.
    • Department of Surgery (E1), Osaka University Graduate School of Medicine, 2-2 Yamadaoka, 565-0871, Suita, Osaka, Japan.
    • Surg Endosc. 2005 May 1;19(5):734-6.

    AbstractA 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.

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