Fahri Yetisir
Ankara Ozel Medisis Hastanesi, Turkey
Title: During laparoscopic sleeve gastrectomy, in the middle of the firing the endogia staple shaft was broken: Video-assisted case presentation
Biography
Biography: Fahri Yetisir
Abstract
A30 years old male, morbidly obese (body mass index: 48) patient was operated for sleeve gastrectomy. During this laparoscopic sleeve gastrectomy operation at the staple firing phase, in the middle of firing the endo-GIA staple shaft was broken. The cartridge was separated from the shaft and remained locked on the stomach. We have tried to open the locked cartridge. Parts of the broken staple shaft were collected from abdomen. We have tried to pull back the knife of the semi fired cartridge which was locked on the stomach. After many attempts also we weren’t able open the knife of the cartridge. We have decided to retransect right next to the locked cartridge by using another new staple cartridge. Resection of the stomach cartridge was locked on was completed by this way. Staple line on the remaining stomach was controlled and there was no problem. After surgery, the patient was discharged at the 5th day without any problems. During the first year follow-up period there was no complication.