Basso N, Minervini S, Marcelli M, Di Marco M
Semeiotica, Chirurgica VI, Universitá La Sapienza, Rome, Italy.
Surg Gynecol Obstet. 1988 Dec;167(6):525-6.
A technique that allows a safer use of the pursestring applicator in stapled esophagojejunostomy is described. By means of five stitches, all esophageal layers are incorporated in the stapled line. Thus, missing a segment of esophageal mucosal layer is avoided. No clinical or radiologic leak was observed in 48 patients who underwent total gastrectomy using this technique.