Abstract
Intracorporeal Classic Circular-Stapled Gastrojejunostomy and Jejunojejunostomy during Laparoscopic Distal Gastrectomy: A Simple, Safe �??Intraluminal PokeTechnique�?� for Anvil Placement
Background: Totally laparoscopic distal gastrectomy is being increasingly performed. However, an optimal procedure to achieve intracorporeal gastrojejunostomy and jejunojejunostomy for Rouxâ?ÃÂenâ?ÃÂY reconstruction after laparoscopic distal gastrectomyremainsto be established. Compared with the simple and preferable circular-stapledRouxâ?ÃÂenâ?ÃÂY reconstruction in open gastrectomy, application of intracorporeal circular-stapledgastrojejunostomy and jejunojejunostomy of Rouxâ?ÃÂenâ?ÃÂY reconstruction duringlaparoscopic distal gastrectomy have been limited (no report of intracorporeal circular-stapledjejunojejunostomy) because of the difficulties of intracorporeal purseâ?ÃÂstring sutureand anvil placement. To address these problems, a simple and safe intraluminal poke technique of universal surgical concept and procedure was introduced and evaluated
Author(s):
Jianjun Du
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