Gastrectomy with BiCision®

Indications

  • gastric carcinoma / early gastric carcinoma
  • Menetriere disease
  • Malignant neoplasia
  • GIST (gastrointestinal stromal tumors)

Advantages of ERBE equipment

  • Safe sealing of blood vessels with a diameter of up to 7 mm
  • Fast procedure thanks to a jaw working length of 18 mm
  • Fatigue-free operation
  • Grip function can be operated directly, without having to change grip
  • Pi advantage: cupped jaw allows a wide sealing zone

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Operation steps
Detach the greater omentum from the transverse colon

Detach the greater omentum from the transverse colon

Preparation of the gastroduodenal artery, dissection of the lymphatic tissue

Opening the lesser omentum

Opening the lesser omentum

Release of retrogastric adhesions, lymphadenectomy

Dissection and postpyloric resection of the duodenum

Dissection and postpyloric resection of the duodenum

Then further lymphadenectomy along the common hepatic artery

Mobilization of the greater curvature and fundus

Mobilization of the greater curvature and fundus

Exposure and resection of the short gastric arteries in the process. Preparation through to the esophagus

Mobilization and resection of the distal esophagus

Mobilization and resection of the distal esophagus

En-bloc-removal of the stomach, subsequently anastomosis for intestinal continuity