Trocar Placement
Suggested trocar placement for resection of distal small bowel lesions. For a more proximal lesion, move the left lower quadrant trocar to the left upper quadrant. Trocars 4 and 5 are per the surgeon’s preference.
Completed Bypass
Completed bypass. The bypass is tested by insufflation of air under saline, or by instillation of methylene blue. (Soper NJ, Swanstrom LL, Eubanks WS, eds. Mastery of Endoscopic and Laparoscopic Surgery. 2d ed. Philadelphia: Lippincott Williams &
The Gastrojejunostomy
The gastrojejunostomy is created by connecting the anvil and shaft of the circular stapler and firing it. (Soper NJ, Swanstrom LL, Eubanks WS, eds. Mastery of Endoscopic and Laparoscopic Surgery. 2d ed. Philadelphia: Lippincott Williams & Wilkins,
Jejunostomy
The jejunostomy is completed by closing the enterotomies (stapled technique, with sewn closure of enterotomies). (Soper NJ, Swanstrom LL, Eubanks WS, eds. Mastery of Endoscopic and Laparoscopic Surgery. 2d ed. Philadelphia: Lippincott Williams &
The Roux limb is created using a linear stapler
The Roux limb is created using a linear stapler. A hand-sewn technique may also be employed. (Soper NJ, Swanstrom LL, Eubanks WS, eds. Mastery of Endoscopic and Laparoscopic Surgery. 2d ed. Philadelphia: Lippincott Williams & Wilkins, 2005. Used b