Omental Free Shaped Flap Reinforcement on Anastomosis and Dissected Area (OFFROAD) Following Gastrectomy
Journal of Minimally Invasive Surgery
;
: 180-182, 2018.
Article
in English
| WPRIM
| ID: wpr-718656
ABSTRACT
The frequency of anastomotic leakage after gastrectomy is reported to be 0.9~8%. To reduce deleterious outcomes of anastomotic leakage, we devised the “Omental Free-shaped Flap Reinforcement On Anastomosis and Dissected area” procedure not only to prevent fatal complications following anastomotic leakage but also to promote vascularity of anastomoses and other expected oncological benefits. This video illustrates the surgical procedure following a totally laparoscopic distal gastrectomy. After completion of the anastomosis, the remaining omentum was mobilized upward and divided into two sections. We placed the left section of the omental flap under the anastomosis between the stomach and pancreas. Finally, we grasped and curved the tip of the section to cover the anastomosis from behind, and we placed the right section of the omental flap above the anastomosis. These two sections were approximated with clips to the anterior wall of the stomach. The patient was discharged without complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Omentum
/
Pancreas
/
Stomach
/
Stomach Neoplasms
/
Hand Strength
/
Anastomotic Leak
/
Gastrectomy
Limits:
Humans
Language:
English
Journal:
Journal of Minimally Invasive Surgery
Year:
2018
Type:
Article
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