Omental Free Shaped Flap Reinforcement on Anastomosis and Dissected Area (OFFROAD) Following Gastrectomy
Journal of Minimally Invasive Surgery
; : 180-182, 2018.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-718656
Biblioteca responsável:
WPRO
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.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Omento
/
Pâncreas
/
Estômago
/
Neoplasias Gástricas
/
Força da Mão
/
Fístula Anastomótica
/
Gastrectomia
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Minimally Invasive Surgery
Ano de publicação:
2018
Tipo de documento:
Artigo