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

  • T. Omori
  • K. Nakajima
  • T. Nishida
  • F. Uchikoshi
  • T. Kitagawa
  • T. Ito
  • H. Matsuda
Original article

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.

Keywords

Laparoscopically assisted gastric surgery Billroth I reconstruction Gastroduodenostomy Purse-string suture Technique 

References

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • T. Omori
    • 1
  • K. Nakajima
    • 1
  • T. Nishida
    • 1
  • F. Uchikoshi
    • 1
  • T. Kitagawa
    • 1
  • T. Ito
    • 1
  • H. Matsuda
    • 1
  1. 1.Department of Surgery (E1)Osaka University Graduate School of MedicineSuitaJapan

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