Legaspi A, Irani H
Department of Surgery, University of Miami School of Medicine, Florida 33101.
Surg Gynecol Obstet. 1990 Feb;170(2):156-8.
Because of anatomic limitations at the EG junction in total and subtotal gastric resections, gastrointestinal reconstruction is technically challenging. In stapled anastomosis, suboptimal application of a purse-string suture to the distal esophagus may lead to anastomotic breakdown. We describe herein a technique in which this step is eliminated to achieve a sound, full thickness anastomosis with the use of the Roticulator TA 30 and the EEA Premium stapling instruments.
由于全胃和次全胃切除术中食管胃交界处的解剖学限制，胃肠道重建在技术上具有挑战性。在吻合器吻合中，在食管远端应用荷包缝合欠佳可能导致吻合口破裂。我们在此描述一种技术，即使用Roticulator TA 30和EEA高级吻合器消除这一步骤，以实现可靠的全层吻合。
