Gys Ben, Gys Tobie, Ruyssers Michael, Lafullarde Thierry
AZ Sint-Dimpna, J-.B. Stessensstraat 2,, 2440, Geel, Belgium.
Obes Surg. 2017 Oct;27(10):2740-2741. doi: 10.1007/s11695-017-2870-8.
Laparoscopic running enterotomy closure for linear stapled Roux-en-Y gastric bypass (RYGB) may be enhanced by using unidirectional barbed sutures (Stratafix™ 2/0, Ethicon) as it eliminates the need for knot tying and assistance from a third hand.
The objective of this paper is to present our technique using unidirectional barbed sutures (Stratafix™ 2/0, Ethicon).
After stapling the gastrojejunostomy, we start the closure of the residual enterotomy unidirectional from left to right (single, full-thickness layer) which is cut without a knot. For the jejunojejunostomy, the residual enterotomy is closed perpendicular from top to bottom in order to avoid iatrogenic stricture formation (single, full-thickness layer). No backstitches are performed.
We feel strongly that this technique might enhance running enterotomy closure for linear stapled RYGB.
对于线性吻合器行Roux-en-Y胃旁路术（RYGB），使用单向倒刺缝线（Stratafix™ 2/0，爱惜康公司）进行腹腔镜连续肠切开闭合术可能会有所改进，因为它无需打结且无需第三方协助。
本文旨在介绍我们使用单向倒刺缝线（Stratafix™ 2/0，爱惜康公司）的技术。
在完成胃空肠吻合术后，我们从左至右单向开始闭合残留的肠切开处（单层全层），切割时不打结。对于空肠空肠吻合术，残留的肠切开处从顶部到底部垂直闭合，以避免医源性狭窄形成（单层全层）。不进行回缝。
我们坚信，该技术可能会改进线性吻合器行RYGB的连续肠切开闭合术。
