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.
|Published (Last):||8 November 2006|
|PDF File Size:||18.3 Mb|
|ePub File Size:||18.56 Mb|
|Price:||Free* [*Free Regsitration Required]|
The gastric and jejunal holes are closed using 4 to 6 sutures. The culpotomy was closed from the vaginal approach.
Abordaje paso a paso para la anastomosis isoperistáltica laterolateral del colon sigmoides
Bekavac-Beslin M, Halkic N: An additional 30 or 45 mm EndoGhia, 3. The differences are illustrated in figure 1. As can be observed, the gastro-jejunal anastomosis is performed latero-laterally instead of termino-laterally. Oncologic segmental resection of splenic flexure in a woman with a T2 adenocarcinoma. Repair of the edges of the gastric fundus.
Feng JJ, Gagner Laterwl One anastomosis gastric bypass: Once we come to the posterior stomach wall we introduce a 45 mm EndoGhia, 3. At the same time, we cover the distal part of the staple line and protect it against disruption and dilatation.
Topics Discussed in This Paper. Received on Accepted for publication Conflict of interest: The One Anastomosis Gastric Bypass is a minimally traumatic procedure for the patient. The objective of this film is to demonstrate the possibilities of specimen extraction of a sigmoid latreal transanally with reduction of abdominal openings that may sometimes induce incisional hernias and anastomisis pain. Computed tomography and colonoscopy may suggest the diagnosis but histology confirms it.
Click here to access your account, or here to register for free! Then, the third trocar 12 mm is inserted 5 cm to the left side of the first one, and again at the same level.
[Ileocystoplasty with latero-lateral anastomosis of the loop].
Biliopancreatic diversion with a duodenal switch. GelerntJoel J. Kreel Hospital practice These procedures were associated with a limited weight loss but, importantly, there were undesirable chronic side effects and complications also occurred.
So far there has been no fistula.
Laparoscopic Roux-en-Y gastric bypass: However, the dramatic metabolic consequences 1,2 indicated the necessity to develop less aggressive, but still efficient, surgical procedures to bring about a loss of weight. Mechanical cervical esophagogastric laterolateral anastomosis after esophagectomies.
For checking if the anastomosis is securely closed, we put it under saline and inject 60 to ml of air through the nasogastric tube and there should be no air bubbles seen to be escaping from the anastomosis.
Obes Surg9: Twenty four hours after the operation we perform a radiological contrast study oral gastrograffin to check that the pouch and anastomosis is not leaking. Ask a question to the author You must be logged in to ask a question to authors.
An omentoplasty is always performed using omentum to cover the gastro-jejunal anastomosis. Passage of 16F enteric or nasogastric tube to the duodenum for feeding 24 hours after the procedure; 5- manual, continuous, anchored suture of the anterior esophagogastric anastomosis with polyglecaprone, starting with one suture on each side, the two meeting in the middle.
The modification of the original procedure consists of making a latero-lateral gastro-jejunal anastomosis instead of a termino-lateral anastomosis, as is carried out as described in the original procedure.
Latero-lateral end anastomosis for right hemicolectomy using staplers
The second trocar 12 mm is positioned 5 cm to the right side of the first, and at the same level. We performed a right hemicolectomy using a 4 port approach with the patient in modified lithotomy position.
With the patient positioned in modified lithotomy, a posterior culpotomy was made and the specimen removed intact through the vagina. The laparoscopic approach did not alter the rate of fistulas when compared with open access 9. In general, surgical complications can be divided into intraoperative and postoperative complications, and usually occur while the patient is still in the hospital.
Introduction When surgeons needed to develop a procedure for effecting weight loss, they mimicked clinical situations where weight loss occurred. BeartKeith A. Laparoscopic colorectal surgery comprises many different types of procedures for various diseases.