Takeuchi Kunio, Tsuzuki Yasushi, Ando Tetsu, Sekihara Masao, Hara Takashi, Kori Takayuki, Nikajima Hiroki, Kuwano Hiroyuki
Department of Surgery, Tone Chuo Hospital, 1855-1 Higashiharashin-machi, Numata-city, Gunma 378-0053, Japan.
World J Surg. 2005 Jan;29(1):113-5. doi: 10.1007/s00268-004-7356-x.
Autosuture staplers have provided various operative and postoperative benefits in gastrointestinal surgery. We describe herein our technique of performing distal gastrectomy followed by side-to-end gastroduodenostomy. Eighteen consecutive patients with gastric cancer underwent distal gastrectomy by the staple technique. We propose a modification of the stapling technique to reduce the number of devices used. In our technique, side-to-end anastomosis is performed first, followed by gastric resection just distal to the anastomosis. By introducing the stapler through the area to be resected, we can eliminate the need to close the gastrostomy. Anastomotic stricture occurred in only 1 (5.5%) of 18 cases. There have been no other postoperative complications related to the anastomosis. We believe that our technique is superior in simplicity and security to the conventional techniques.
自动缝合吻合器在胃肠手术中带来了多种手术中和术后的益处。在此，我们描述我们进行远端胃切除术并随后行端侧胃十二指肠吻合术的技术。连续18例胃癌患者接受了吻合器技术的远端胃切除术。我们提出一种吻合器技术的改良方法以减少器械的使用数量。在我们的技术中，先进行端侧吻合，然后在吻合口远侧进行胃切除。通过将吻合器经待切除区域插入，我们可以无需关闭胃造口。18例中仅1例（5.5%）发生吻合口狭窄。未出现与吻合相关的其他术后并发症。我们认为我们的技术在简便性和安全性方面优于传统技术。
