Stapler division of the omentum and small bowel mesentery in morbidly obese patients undergoing gastric bypass surgery

Roux-en-Y gastric bypass (RYGB) procedures can be technically demanding because of anatomical factors including fat distribution, organ fixation, and wound depth. We developed a technique using the Multifire Endo GIA 60 2.5 disposable surgical stapler which allows greater mobilization, less blood lo...

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Bibliographic Details
Published in:Obesity surgery 1997-06, Vol.7 (3), p.207-210
Main Authors: Sapala, J A, Wood, M H, Sapala, M A, Mason, D S
Format: Article
Language:English
Subjects:
Anastomosis, Roux-en-Y
Gastric Bypass - instrumentation
Gastric Bypass - methods
Gastrointestinal surgery
Humans
Mesentery - surgery
Obesity
Omentum - surgery
Surgery
Surgical Staplers
Surgical Stapling
Time Factors
Weight control
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Summary:Roux-en-Y gastric bypass (RYGB) procedures can be technically demanding because of anatomical factors including fat distribution, organ fixation, and wound depth. We developed a technique using the Multifire Endo GIA 60 2.5 disposable surgical stapler which allows greater mobilization, less blood loss, and decreased operating time. A disposable stapler designed for laparoscopic surgery was used to transect the gastro-colic omentum and small bowel mesentery in 67 morbidly obese patients undergoing RYGB. Generally, five to six stapler cartridges were needed for the transections. Stapler division of the gastro-colic omentum and small bowel mesentery decreased operating time by an average of 25 minutes. Applying principles of laparoscopic surgery to RYGB resulted in more efficient mobilization of the stomach and the small bowel mesentery, as well as decreased blood loss and operating time.
ISSN:0960-8923
1708-0428
DOI:10.1381/096089297765555755