Complications - Subtotal gastrectomy, type Billroth II with Roux-en-Y reconstruction

With standardized surgical techniques, intraoperative complications are rare.

Injury to vessels
Therapy: Suturing

Injury to bile ducts
Therapy: Suturing, if necessary, T-drainage

Injury to the pancreas
Therapy: Suturing and extensive drainage

Injury to the spleen
Therapy: Coagulation using argon beam, fleece-supported tissue adhesion e.g., with TachoSil® (see Medical Equipment tab), last resort: splenectomy

Warning: If a splenectomy must be performed during a subtotal gastrectomy, the blood supply to the remaining stomach is at risk because the short gastric arteries have been severed. A gastrectomy is required!