In seven patients undergoing right hemicolectomy for benign or malignant diseases, latero-lateral end anastomoses were made using stapling devices. or malignant diseases, latero-lateral end anastomoses were made using stapl- anastomosis using stapling devices for right hemicolectomy is a safe and rapid. Abordaje paso a paso para la anastomosis isoperistáltica laterolateral del Laparoscopic colorectal resection for anastomotic stricture following reversal of.
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The technique is carried out in the same way always, and independently of the weight of the patient. The combination of laparoscopy and specimen extraction through a natural orifice has the potential to decrease wound complications and to improve postoperative recovery.
Alberto Antunes University Hospital. When both are fixed, we anastomose the gastric pouch to the jejunal loop using a 30 mm EndoGhia, 3. He adapted the original operation as described by Billroth and applied laparoscopic techniques to its further development.
Received on Accepted for publication Conflict of interest: Acknowledgements The authors thank the graphic designer Jorge Luiz Carlos Ferreira for adapting the illustrations.
In prospective randomized study published inSaluja et al. The different approaches that have been developed during the years aimed to minimise the operative trauma and optimise the long term nutritional and metabolic consequences. A new, precise, and rapid technique of intestinal resection and anastomosis with staples. Terminalized semimechanical side-to-side suture technique for cervical esophagogastrostomy.
Mason EE, Ito Anastomosjs Randomized trial comparing side-to-side stapled and hand-sewn esophagogastric anastomosis in neck. Repair of the stomach in the body, so that it is extended Figure 2. The specimen was 52cm in length and contained a 3. Medial to lateroo mobilization and early high ligation of the ileocolic pedicle were performed. Oncologic segmental resection of splenic flexure in a woman with a T2 adenocarcinoma.
The postoperative complications associated with laparoscopic colorectal surgery are essentially the same as those for open surgery. Obes Surg8: These will be described below.
anastomosls Repair of the edges of the gastric fundus. We have studied in depth the advantages and disadvantages of the Mini Gastric Bypass procedure, and finally we have concluded that the new procedure had many differences when compared with the original Abastomosis II, or other gastric bypasses based on it.
As can be observed, the gastro-jejunal anastomosis is performed latero-laterally instead of termino-laterally. Comments The surgery to treat morbid obesity should follow, in our opinion, the principle of “the simplest procedure that permits enough weight loss with less short and long-term complications and better quality of life”.
Arch Surg Errors and pitfalls in stapling gastrointestinal tract anastomoses.
Chir Ital We proceed identifying the angle of Treitz. Surgery for the Morbidly Obese Patient. Long-term outcome in a series of jejuno-ileal bypass patients. In this case, a laparoscopic three-port technique is performed: Once the cervical access is lagero, with the dissected esophagus and stomach wholesome or tubularized ready to be transposed, we continued performing: In Robert Rutledge took again as a starting point the Billroth II gastric operation which has been laterak out previously by others 11 and shown in a million patients to provoke loss of weight.
J Gastroenterol Hepatol Twenty four hours after the operation we perform a radiological contrast study oral gastrograffin to check that the pouch and anastomosis is not leaking. Detailed description of the surgical tecnique The procedure commences by inducing a pneumoperitoneum through the left subcostal space figure 2. Surg Endosc8: The first step consists of preparing a hole in the gastric fundus at the esophago-gastric junction.
The patients recover quickly and can resume their activities within two to three days. The follow-up of patients lasted up to 48 months and endoscopic findings revealed wide anastomotic mouths without reflux into the esophageal stump.
anastlmosis However, in order to reduce the contact of biliopancreatic secretions with the gastric mucosa, and also for reducing the possibility of gastric pouch dilatation, we have introduced some modifications into the Mini Gastric Bypass as originally described by Robert Rutledge.
Mechanical cervical esophagogastric laterolateral anastomosis after esophagectomies. Their aim was to reduce the high risk of fistula stenosis and that the latter entailed. Drainage of the cervical region is performed with a Penrose No. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. However, the laero metabolic consequences 1,2 indicated the necessity to develop layeral aggressive, but still efficient, surgical procedures to bring about a loss of weight.
However, the stenosis rate was significantly reduced in the stapled group.
Br J Surg Because of the latrro trauma associated with this procedure, the postoperative recovery period is in the region of 24 hours. For these reasons, other techniques have been developed including mixed restrictive and low malabsorptive procedures such as the Roux Y gastric bypass 5,6or high malabsorptive as biliopancreatic bypass 7,8 and duodenal switch operations 9, Can we reduce complications in laparoscopic colorectal surgery?