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Reconstruction after laparoscopic distal gastrectomy Yoshihisa SAKAGUCHI 1 , Osamu IKEDA 1 1Department of Gastroenterological Surgery, National Kyushu Cancer Center Keyword: 腹腔鏡下幽門側胃切除 , 器械吻合 , 体内吻合 pp.183-189
Published Date 2008/4/15
DOI https://doi.org/10.11477/mf.4426100172
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 Laparoscopic gastrectomy for gastric cancer has become popular as a less invasive and safe procedure without diminishing the radical quality of the surgery. Therefore, in the laparoscopic distal gastrectomy, it is extremely important to make the reconstruction without any complications. The reconstruction method should be selected based on the situation of the patient. Because stapling devices make the procedures easier and safer, and intracorporeal procedures provide a good field of view, the intracorporeal anastomosis using linear staplers is very useful after distal gastrectomy. We demonstrate the techniques of Billroth I method, and antiperistaltic or isoperistaltic Roux-Y method. The intracorporeal anastomosis using stapling devices has an advantage in the laparoscopic distal gastrectomy, and the surgical techniques should be learned.


Copyright © 2008, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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