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Partial gastrectomy can also be performed using surgical stapling devices. This technique is quicker and technically less demanding [53]. The additional expense of the stapler may be offset by the reduced operating time. Another advantage is that the resection can be performed without entering the gastric lumen and hence there is no risk of leakage and contamination as with an open resection. A linear stapler or linear cutter stapler can be used for this purpose. The size of stapler will vary on the amount of tissue to be resected and the size of the staple will depend on the thickness of the tissue. The staple line should be reinforced by oversewing with a continuous inverting suture pattern (Cushing's or Lembert).