Modified technique of stapled esophagojejunostomy without a purse-string suture.
作者信息
Seshadri Ramakrishnan Ayloor, Thammaiah Siddappa K, Vaidhyalingam Venktesh
机构信息
Department of Surgical Oncology, Cancer Institute (WIA), No.18, Sardar Patel road, Chennai, 600036 India.
出版信息
Indian J Surg Oncol. 2011 Sep;2(3):189-92. doi: 10.1007/s13193-011-0084-4. Epub 2011 Aug 17.
Abstract
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.
摘要
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