Self Instructional Manual for Cancer Registrars - SEER - National ...

EXAMPLE
F17 (continued)
PROCEDURE
CONTINUED:
This was reflected up and the left gastric arteries were ligated. The stomach was then
transected in the usual fashion and the greater curvature tapered using a 2-0 chromic
and an inverting suture of 2-0 silk. The distal lumen was free of tumor and this was
then anastomosed in 2-layer fashion to the proximal duodenum using an inner running
suture of 3-ffchromic and an outer interrupted of 3-0 silk. Estimated blood loss during
the procedure was approximately 300 cc's. The sponge counts at the conclusion of the
procedure were correct.
The abdomen was closed with nylon retentions and midline sutures of zero-silk. The
skin was closed with interrupted 4-0 silk. The patient tolerated the procedure well,
however, a period of Cheyne-Stokes respiration followed the conclusion of the case
and the endotracheal tube was allowed to remain in, and the patient was placed on a
Byrd Respirator in the recovery room. Other than this, the case went smoothly and
the patient did well.
Surgeon Z. Alterman, MD Date 1[15/91
Date dictated 1/15/91 Date transcribed 1/18/91
Patient Name Ann Trum Record Number 000035
182