Journal of Minimally Invasive Surgery

The Korean Society of Endoscopic & Laparoscopic Surgeons (대한내시경복강경외과학회)
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Omental Free Shaped Flap Reinforcement on Anastomosis and Dissected Area (OFFROAD) Following Gastrectomy

  • Han, WonHo (Center for Gastric Cancer, Research Institute and Hospital, National Cancer Center) ;
  • Park, KyongLin (Center for Gastric Cancer, Research Institute and Hospital, National Cancer Center) ;
  • Kim, Deok-Hee (Center for Gastric Cancer, Research Institute and Hospital, National Cancer Center) ;
  • Kim, Young-Woo (Center for Gastric Cancer, Research Institute and Hospital, National Cancer Center)
  • Received : 2018.06.26
  • Accepted : 2018.09.04
  • Published : 2018.12.15
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Abstract

The frequency of anastomotic leakage after gastrectomy is reported to be 0.9~8%. To reduce deleterious outcomes of anastomotic leakage, we devised the "Omental Free-shaped Flap Reinforcement On Anastomosis and Dissected area" procedure not only to prevent fatal complications following anastomotic leakage but also to promote vascularity of anastomoses and other expected oncological benefits. This video illustrates the surgical procedure following a totally laparoscopic distal gastrectomy. After completion of the anastomosis, the remaining omentum was mobilized upward and divided into two sections. We placed the left section of the omental flap under the anastomosis between the stomach and pancreas. Finally, we grasped and curved the tip of the section to cover the anastomosis from behind, and we placed the right section of the omental flap above the anastomosis. These two sections were approximated with clips to the anterior wall of the stomach. The patient was discharged without complications.

Keywords

Acknowledgement

Supported by : National Cancer Center

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