Complications - Partial gastrectomy with Roux-en-Y gastrojejunostomy - general and visceral surgery
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Prevention and management of intraoperative complications
Intraoperative complications are rare with standardized surgical techniques.
Vascular injuries
Treatment: SutureBile duct injury
Management: Suture, T-drain if necessaryPancreatic injury
Treatment: Suture and extensive drainageSplenic injury
Management: Hemostasis with argon beamer, tissue sealing, e.g., with TachoSil® sealant matrix
As last resort: SplenectomyCaution: If splenectomy must be performed in partial gastric resection, the blood supply of the gastric remnant is endangered because the short gastric arteries will have been transected. Gastrectomy then becomes mandatory!
Prevention and management of intraoperative complications
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