Stage 1
Dentro il Blocco Operatorio
Open Subtotal Gastrectomy
General SurgeryOpenFree access
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Instruments and materials
Operative stages
Stage 2
Exploration of the abdominal cavity and placement of retractors
Stage 3
Division of the gastrocolic ligament
Stage 4
Mobilisation of the greater gastric curvature
Stage 5
Isolation and division of the right gastroepiploic vessel
Stage 6
Division of the pyloric vessels
Stage 7
Duodenal transection
Stage 8
Opening and excision of the lesser omentum
Stage 9
Isolation of the distal oesophagus and division of the vagal trunks
Stage 10
Isolation and division of the left gastric vessels
Stage 11
Oesophageal transection
Stage 12
Lymphadenectomy
Stage 13
Isolation and division of the first jejunal loop
Stage 14
Transmesocolic passage of the efferent limb for oesophagojejunal anastomosis
Stage 15
Preparation of the oesophageal stump
Stage 16
End-to-side oesophagojejunal anastomosis
Stage 17
Air-leak test of the anastomosis
Stage 18
Passage of the feeding nasogastric tube beyond the anastomosis
Stage 19
Side-to-side jejunojejunal anastomosis approximately 60 cm from the limb
Stage 20
Closure of the transverse mesocolon defect and approximation of the jejunojejunal mesentery
Stage 21
Meticulous haemostasis check
Stage 22
Drain placement
Stage 23
Fascial closure and layered wound closure
Complications
- Event
- Major-vessel bleeding
- Expect
- Vascular clamp or Kelly forceps
- Prepare
- 4-0 Prolene