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Intracorporeal Uncut Roux-en-Y Gastrojejunostomy Reconstruction in Pure Single- Incision Laparoscopic Distal Gastrectomy for Early Gastric Cancer: Unaided.

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Presentation on theme: "Intracorporeal Uncut Roux-en-Y Gastrojejunostomy Reconstruction in Pure Single- Incision Laparoscopic Distal Gastrectomy for Early Gastric Cancer: Unaided."— Presentation transcript:

1 Intracorporeal Uncut Roux-en-Y Gastrojejunostomy Reconstruction in Pure Single- Incision Laparoscopic Distal Gastrectomy for Early Gastric Cancer: Unaided Stapling Closure  Sang-Hoon Ahn, MD, Sang-Yong Son, MD, Chang-Min Lee, MD, Do Hyun Jung, MD, Do Joong Park, MD, PhD, Hyung-Ho Kim, MD, PhD  Journal of the American College of Surgeons  Volume 218, Issue 1, Pages e17-e21 (January 2014) DOI: /j.jamcollsurg Copyright © 2014 American College of Surgeons Terms and Conditions

2 Figure 1 Formation of opening at the end of the stapling line on the greater curvature side of the stomach. (A) Stomach cutting by a harmonic scalpel. (B) A “dog ear” of the stomach for traction. Journal of the American College of Surgeons  , e17-e21DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

3 Figure 2 Insertion of a laparoscopic stapler into the jejunum. (A) Opening of the jejunum made by hook in the cutting mode. (B) Placement of the end of anvil into the jejunum opening. (C) Insertion of a stapler by pulling the jejunum. Journal of the American College of Surgeons  , e17-e21DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

4 Figure 3 Intracorporeal uncut Roux-en-Y gastrojejunostomy in single-incision laparoscopic distal gastrectomy. (A) Insertion of stapler side by pulling a “dog ear” of the stomach. (B) Antiperistaltic gastrojejunostomy by a linear stapler. Journal of the American College of Surgeons  , e17-e21DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

5 Figure 4 (A) Common entry hole closure by a linear stapler after 2 stay sutures. (B) Gastrojejunostomy formation after common entry hole closure. Journal of the American College of Surgeons  , e17-e21DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

6 Figure 5 Uncut Roux-en-Y gastrojejunostomy.
Journal of the American College of Surgeons  , e17-e21DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

7 Figure 6 Trend and distribution of reconstruction time.
Journal of the American College of Surgeons  , e17-e21DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

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