Stapled or manual suturing in esophagojejunostomy after total gastrectomy: a comparison of outcome in 379 patients
| Autor: | Kiuchi S, Konno C, Mitsuru Takai, Goroh Obata, Makoto Takahashi, Kokuriki Kobayashi, Shigeru Fujimoto, Katsuji Okui, Endoh F |
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| Rok vydání: | 1991 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Anastomosis Surgical anastomosis Esophagus Surgical Staplers Suture (anatomy) Gastrectomy Stomach Neoplasms medicine Humans Thoracotomy Aged business.industry General surgery Anastomosis Surgical Suture Techniques General Medicine Middle Aged equipment and supplies medicine.disease Surgery Stenosis surgical procedures operative Jejunum Anastomotic leakage Median sternotomy Female business |
| Zdroj: | American journal of surgery. 162(3) |
| ISSN: | 0002-9610 |
| Popis: | From January 1983 to December 1989, we performed esophagojejunostomy on 379 patients who underwent total gastrectomy for gastric cancer. A mechanical EEA stapler or conventional manual suturing was used. The clinical outcomes of 199 patients in whom stapling was used (stapler group) and 180 patients in whom manual suturing was done (manual group) were compared. Two of the 199 patients in the stapler group and 3 of the 180 patients in the manual group died of causes directly related to the anastomosis. In the stapler group, 16 stapled anastomoses were formed supradiaphragmatically, and manual suturing was done for 6 patients. The highly placed anastomosis was formed without left thoracotomy or with median sternotomy in 8 of the 16 patients in whom the stapling device was used and in 1 of the 6 patients in whom manual suturing was used. The incidence of anastomotic leakage and stenosis did not differ between the groups. Thus, the mechanical stapler facilitated the construction of a rapid, reliable esophagojejunostomic anastomosis. |
| Databáze: | OpenAIRE |
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