[Gastrectomy with "primary" gastro-jejunal anastomosis. A new way of using mechanical suture instruments (author's transl)].

A new way of performing Billroth II-type gastrectomy using mechanical suture instruments is described. After section and closure of the duodenum with a TA 55 stapler,, the stomach is exteriorized and the jejunal loop is brought into contact with its posterior surface. A GIA stapler is introduced into stab wounds in the stomach and jejunum, and the gastrectomy is performed. The anastomotic suture is included in the "secondary" gastric resection suture with one single application of a TA 90 stapler. This original resection technique, which ensures primary establishment of gastro-intestinal continuity, has been used on 52 occasions since 1973. There was no increase in mortality and no postoperative haemorrhage or fistula. The perfect quality of the anastomis was confirmed by control radiographic and endoscopic examinations.