Michel M Murr1, Scott F Gallagher. 1. Department of Surgery and Interdisciplinary Obesity Treatment Group, University of South Florida College of Medicine, Tampa, FL, USA. mmurr@hsc.usf.edu
Abstract
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass is being undertaken with increasing frequency. We describe a technique for introducing the anvil of the circular stapler using a totally transabdominal approach. METHODS: One hundred consecutive patients underwent laparoscopic Roux-en-Y gastric bypass in a university-affiliated teaching hospital. RESULTS: The cardiojejunostomy was constructed in all 100 patients using the circular stapler with no complications. No anastomotic leaks were detected postoperatively. CONCLUSIONS: The totally transabdominal approach for introducing the anvil of the circular stapler into the gastric pouch is safe and feasible.
BACKGROUND: Laparoscopic Roux-en-Y gastric bypass is being undertaken with increasing frequency. We describe a technique for introducing the anvil of the circular stapler using a totally transabdominal approach. METHODS: One hundred consecutive patients underwent laparoscopic Roux-en-Y gastric bypass in a university-affiliated teaching hospital. RESULTS: The cardiojejunostomy was constructed in all 100 patients using the circular stapler with no complications. No anastomotic leaks were detected postoperatively. CONCLUSIONS: The totally transabdominal approach for introducing the anvil of the circular stapler into the gastric pouch is safe and feasible.
Authors: Luis Felipe Chavarriaga; Michael W Cook; Brent White; Louis Jeansonne; Nana Gletsu; Cheryl B Parker; John Sweeney; S Scott Davis; Edward Lin Journal: Obes Surg Date: 2008-11-18 Impact factor: 4.129