GASTRIC RESECTION
Gastric resection (removal of part of the stomach) has to be followed by an anastomosis of the stomach to the duodenum, a Billroth I procedure, or the upper part of the small intestine, a Billroth II procedure. Procedures named after the inventor, the German surgeon Dr Billroth.
Here is an example of a Billroth II procedure, which I prefer to do anterocolic (in front of the large intestine) in two layers with continuous suture lines.
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Tumor in distal part (pyloric region) of stomach |
Clamps applied to the stomach |
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Stomach being divided with scalpel |
Stomach divided – duodenum dissected free |
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Duodenum clamped…………… |
… and divided with scalpel |
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Duodenal stump closed with continuous suture |
Beginning of small intestine at Treitz’s ligament |
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Loop of intestine brought close to stomach |
Posterior suture line in progress |
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Intestinal wall being cut |
Intestine cut open |
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Anterior suture line in progress |
Anterior suture line completed |
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Anastomosis completed |
Resected part of stomach with tumor |
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Tumor cut open - malignant |
OR Technician Mr. Fedhessa closing up |
