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. 2003 Jun;185(6):585-8.
doi: 10.1016/s0002-9610(03)00063-1.

Technical considerations for transabdominal loading of the circular stapler in laparoscopic Roux-en-Y gastric bypass

Michel M Murr  1 , Scott F Gallagher
Affiliations

Technical considerations for transabdominal loading of the circular stapler in laparoscopic Roux-en-Y gastric bypass

Michel M Murr et al. Am J Surg. 2003 Jun.

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.

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