title: Stapling technique for performing Billroth II anastomosis after distal gastrectomy.
abstract: The circular stapling technique has been widely applied for gastrointestinal anastomosis in gastrectomies (open or laparoscopic) for distal gastric cancers. We describe this method for use in performing Billroth II anastomosis in distal gastrectomies. From 2002-2009, we report the results following the use of the circular stapling technique performed in 520 patients at a single institution. The median time of completing the anastomosis was shorter using the stapling technique compared to the hand-sewn technique. The use of the stapler resulted in two cases of minor intraluminal bleeding at the anastomotic site. The circular stapling method can be applied safely and more efficiently in performing Billroth II reconstruction after distal gastrectomy compared to the hand-sewn method in patients with gastric cancer.
authors.affiliation: Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong Kangnam-Gu, Seoul 135-710, South Korea.
authors.forename: Seung Jong
authors.initials: SJ
authors.lastname: Oh
authors.forename: Jenny Jimmy
authors.initials: JJ
authors.lastname: Hong
authors.forename: Cheong Ah
authors.initials: CA
authors.lastname: Oh
authors.forename: Dae Hoon
authors.initials: DH
authors.lastname: Kim
authors.forename: Young Sik
authors.initials: YS
authors.lastname: Bae
authors.forename: Seong Hee
authors.initials: SH
authors.lastname: Choi
authors.forename: Min Gew
authors.initials: MG
authors.lastname: Choi
authors.forename: Jae Hyung
authors.initials: JH
authors.lastname: Noh
authors.forename: Tae Sung
authors.initials: TS
authors.lastname: Sohn
authors.forename: Jae Moon
authors.initials: JM
authors.lastname: Bae
authors.forename: Sung
authors.initials: S
authors.lastname: Kim
mesh_terms: D004867:Equipment Design; D005743:Gastrectomy / Q000009:adverse effects*; D005763:Gastroenterostomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D012086:Reoperation / Q000379:methods*; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures