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Stapler division of the omentum and small bowel mesentery in morbidly obese patients undergoing gastric bypass surgery.

Abstract：

BACKGROUND:Roux-en-Y gastric bypass (RYGB) procedures can be technically demanding because of anatomical factors including fat distribution, organ fixation, and wound depth. We developed a technique using the Multifire Endo GIA 60 2.5 disposable surgical stapler which allows greater mobilization, less blood loss, and decreased operating time. METHODS:A disposable stapler designed for laparoscopic surgery was used to transect the gastro-colic omentum and small bowel mesentery in 67 morbidly obese patients undergoing RYGB. Generally, five to six stapler cartridges were needed for the transections. RESULTS:Stapler division of the gastro-colic omentum and small bowel mesentery decreased operating time by an average of 25 minutes. CONCLUSIONS:Applying principles of laparoscopic surgery to RYGB resulted in more efficient mobilization of the stomach and the small bowel mesentery, as well as decreased blood loss and operating time.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Sapala JA,Wood MH,Sapala MA,Mason DS

doi

10.1381/096089297765555755

subject

Has Abstract

pub_date

1997-06-01 00:00:00

pages

207-10

issue

3

eissn

0960-8923

issn

1708-0428

journal_volume

7

pub_type

杂志文章

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