Kikuchi Shiro, Sakuramoto Shinichi, Shimao Hitoshi, Watanabe Masahiko, Yonai Jun
Department of Surgery, Kitasato University East Hospital, Kanagawa, Japan.
Hepatogastroenterology. 2006 Jan-Feb;53(67):155-6.
Stapler anastomosis has been widely used in esophagojejunostomy following total gastrectomy. Purse string suture around the cut esophagus must be placed before stapler anastomosis. However, technical problems associated with placement of the purse string suture remain. We have designed a new reusable "needle cap" device, allowing purse string suture to be performed easily, safely, and cost-effectively. We present herein a new technique for purse string suture in stapled esophagojejunostomy using this device.