Double Half Purse-String Sutures Plus “8” Pattern of Stitching for Prevention of Duodenal Stump Fistula after Laparoscopic Gastrectomy

Duodenal stump fistula represents an infrequent but serious complication after laparoscopic radical gastrectomy with Billroth II or Roux-en-Y reconstruction for gastric cancer. The present study was designed to evaluate the effectiveness of laparoscopic double half purse-string sutures plus "8" pattern of stitching for reinforcement of duodenal stump.