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Published on: March 20, 2017
Technical considerations for transabdominal loading of the circular stapler in laparoscopic Roux-en-Y gastric bypass
Michel M Murr1, Scott F Gallagher
1Department of Surgery and Interdisciplinary Obesity Treatment Group, University of South Florida College of Medicine, Tampa, FL, USA. mmurr@hsc.usf.edu
Background:
Laparoscopic Roux-en-Y gastric bypass is being undertaken with increasing frequency. We describe a technique for introducing the anvil of the circular stapler using a totally transabdominal approach.
Methods:
One hundred consecutive patients underwent laparoscopic Roux-en-Y gastric bypass in a university-affiliated teaching hospital.
Results:
The cardiojejunostomy was constructed in all 100 patients using the circular stapler with no complications. No anastomotic leaks were detected postoperatively.
Conclusions:
The totally transabdominal approach for introducing the anvil of the circular stapler into the gastric pouch is safe and feasible.

