Modified Technique of Stapled Esophagojejunostomy Without a Purse-String Suture

被引:1
作者
Seshadri R.A. [1 ]
Thammaiah S.K. [1 ]
Vaidhyalingam V. [1 ]
机构
[1] Department of Surgical Oncology, Cancer Institute (WIA), Chennai, 600036, No.18, Sardar Patel road
关键词
Anastamosis; Esophagojejunostomy; Gastric cancer; Purse-string suture; Stapler; Total gastrectomy;
D O I
10.1007/s13193-011-0084-4
中图分类号
学科分类号
摘要
Placement of a purse-string suture during a stapled esophagojejunostomy following total gastrectomy is a technically demanding and time consuming procedure. Improper placement of the purse-string suture can lead to anastamotic breakdown with its associated complications. We describe a technique of stapled esophagojejunostomy without using a purse-string suture. We used this technique in 35 patients including 4 patients who underwent an extended total gastrectomy. We encountered a difficulty only in one patient due to malfunction of the stapler. None of the patients had an anastamotic leak. The modified technique of stapled esophagojejunostomy without a purse-string suture makes the procedure more easy, safe and simple. © 2011 Indian Association of Surgical Oncology.
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页码:189 / 192
页数:3
相关论文
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  • [1] Kataoka M., Masaoka A., Hayashi S., Et al., Problems associated with the EEA stapling technique for esophagojejunostomy after total gastrectomy, Ann Surg, 209, pp. 99-104, (1989)
  • [2] Walther B.S., Oscarson J.E., Graffner H.O.L., Vallgren S., Evander A., Esophagojejunostomy with the EEA stapler, Surgery, 99, pp. 598-603, (1986)
  • [3] Guerra J.P., Silva M.H., dos Santos J.G., An improved technique for a stapled transabdominal esophagojejunostomy, Am J Surg, 174, pp. 61-62, (1997)
  • [4] Hoelscher A.H., Siewert J.R., New technique for temporary purse string in stapler anastamosis, Br J Surg, 77, (1990)
  • [5] Campion J.P., Grossetti D., Launois B., Circular anastamosis stapler. An alternative to purse-string suture, Arch Surg, 119, pp. 232-233, (1984)
  • [6] Pimenta A.P., Sousa J.A., Gouveia A.M., Alves J.A., Mechanical digestive anastamosis: a new technique to make it easier, quicker and more reliable, Dis Esophagus, 16, pp. 126-129, (2003)
  • [7] Legaspi A., Irani H., Stapled transabdominal lower esophageal anastamosis without purse-string suture, Surg Gynecol Obstet, 170, pp. 156-158, (1990)
  • [8] Adams R.D., Allen K.B., Millikan K., Doolas A., Faber L.P., Transhiatal stapled esophagojejunostomy without a pursestring suture in patients with previous gastric resection, Ann Thorac Surg, 58, pp. 254-256, (1994)
  • [9] Parker J., Sell Jr. H., Stahlfeld K., A new technique for esophagojejunostomy after total gastrectomy for gastric cancer, Am J Surg, 182, pp. 174-176, (2001)
  • [10] Cebrian T.E., Gimenez R., Fernandez F.L., Herreros A.T., Sanchez E.J., Double-stapling technique for mechanical circular oesophagojejunal anastomosis after total gastrectomy, Br J Surg, 81, pp. 408-409, (1994)