Operation on stomach and pylorus
Local resection of gastric wall lesions
发布时间:2021-10-27   浏览:1258次

1. If there is a leiomyoma on the posterior wall of the stomach, first open the gastrocolonic ligament, enter the omental cavity, touch the mass, and lift it with allis forceps (Fig. 2-3-1).
2. Clamp the normal gastric wall tissue with Huaxia disposable linear suture device and fire the suture device (Fig. 2-3-2).
3. Remove the diseased tissue along the edge of the stapler and remove the instrument. Note that the suture cutting line should not involve the blood vessels on the side of the great bend, otherwise it is easy to cause bleeding (Fig. 2-3-3)
4. Local lesions in gastric wall can also be removed with Huaxia disposable linear cutting suture device. Here, part of the gastric wall is removed in the long axis direction of the anterior gastric wall. Because the gastric body is large, no matter longitudinal or transverse, it will not cause gastric cavity stenosis (Fig. 2-3-4).
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Figure 2-3-1 free gastric omentum, exposing lesions of the posterior wall of the stomach
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Fig. 2-3-2 lift the diseased gastric wall and sew its distal normal tissue
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Figure 2-3-3 excision of diseased tissue to complete the operation
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Figure 2-3-4 lift the diseased tissue and cut the suture nail with Huaxia disposable linear cutting suture device
5. Wedge resection can be used if the focus is on the side of the great bend. After separating the greater curvature lateral omentum, wedge-shaped resection of part of the gastric wall with Huaxia disposable linear cutting stapler (Fig. 2-3-5).
6. The stapler has been removed and the resection is completed. Note that the two suture nails should be nailed into the tissue alternately (Fig. 2-3-6).
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Figure 2-3-5 when the lesion is located at the edge of the stomach, the gastric wall tissue can be wedge cut
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Fig. 2-3-6 note that the two sewing lines must cross at the top

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