Modified Technique of Stapled Esophagojejunostomy Without a Purse-String Suture

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• 作者：Ramakrishnan Ayloor Seshadri (1)
  Siddappa K. Thammaiah (1)
  Venktesh Vaidhyalingam (1)
  
• 关键词：Gastric cancer ; Total gastrectomy ; Esophagojejunostomy ; Anastamosis ; Purse ; string suture ; Stapler
• 刊名：Indian Journal of Surgical Oncology
• 出版年：2011
• 出版时间：September 2011
• 年：2011
• 卷：2
• 期：3
• 页码：189-192
• 全文大小：185KB
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• 作者单位：Ramakrishnan Ayloor Seshadri (1)
  Siddappa K. Thammaiah (1)
  Venktesh Vaidhyalingam (1)
  
  1. Department of Surgical Oncology, Cancer Institute (WIA), No.18, Sardar Patel road, Chennai, 600036, India
  

文摘

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.