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Results: 6

2.
Fig. 1

Fig. 1. From: Standardization of the Fully Stapled Laparoscopic Roux-en-Y Gastric Bypass for Obesity Reduces Early Immediate Postoperative Morbidity and Mortality: A Single Center Study on 2606 Patients.

Schematic overview of the trocar positioning and the different trocar sizes. An overview of the different instruments that are used by each trocar is depicted in the most right column

Bruno Dillemans, et al. Obes Surg. 2009 October;19(10):1355-1364.
3.
Fig. 5

Fig. 5. From: Standardization of the Fully Stapled Laparoscopic Roux-en-Y Gastric Bypass for Obesity Reduces Early Immediate Postoperative Morbidity and Mortality: A Single Center Study on 2606 Patients.

Creation of the jejuno-jejunostomy. a Antimesenteric opening in the alimentary limb. b Side-to-side anastomosis with a linear 60 mm stapler. c Closure of the enterotomy defect using three stay sutures. d Transection of the remaining blind loop of the biliopancreatic limb

Bruno Dillemans, et al. Obes Surg. 2009 October;19(10):1355-1364.
4.
Fig. 3

Fig. 3. From: Standardization of the Fully Stapled Laparoscopic Roux-en-Y Gastric Bypass for Obesity Reduces Early Immediate Postoperative Morbidity and Mortality: A Single Center Study on 2606 Patients.

Creation of the gastro-jejunostomy (part 1). a Opening of the gastric pouch in the lower left corner. b Purse-string suturing with PDS 3/0. c Introduction of the anvil of the circular stapler and tying of the purse-string. d Identification of the angle of Treitz

Bruno Dillemans, et al. Obes Surg. 2009 October;19(10):1355-1364.
5.
Fig. 4

Fig. 4. From: Standardization of the Fully Stapled Laparoscopic Roux-en-Y Gastric Bypass for Obesity Reduces Early Immediate Postoperative Morbidity and Mortality: A Single Center Study on 2606 Patients.

Creation of the gastro-jejunostomy (part 2). a Enterotomy 30–50 cm from the angle of Treitz. b Antimesenteric perforation of the jejunum with the spike after introduction of the circular stapler. c Closure of the circular stapler. d Finalization of the anastomosis by transection of the remaining small bowel 1 cm proximal to the gastro-jejunostomy

Bruno Dillemans, et al. Obes Surg. 2009 October;19(10):1355-1364.
6.
Fig. 2

Fig. 2. From: Standardization of the Fully Stapled Laparoscopic Roux-en-Y Gastric Bypass for Obesity Reduces Early Immediate Postoperative Morbidity and Mortality: A Single Center Study on 2606 Patients.

Creation of the gastric pouch. a Start of the dissection at the lesser curvature 5–6 cm below the gastro-esophageal junction. b The first linear stapler cuts the stomach horizontally. c Vertical transection of the stomach along a 34 Fr. orogastric tube. d Final stapling at the angle of His

Bruno Dillemans, et al. Obes Surg. 2009 October;19(10):1355-1364.

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