[Comprative evaluation of the immediate results of gastrectomy with different types of esophago-intestinal anastomosis].
Using the experience with 207 gastrectomies the author presents an analysis of a dependence of incompetency of enteroesophageal anastomosis sutures on the operative approach, extent of surgery, method of enteroesophagostomy, number of suture rows. The author's data evidence that incompetency of anastomosis sutures in gastrectomy is the principal cause of mortality in the postoperative period. The mortality due to suture incompetency while using a thoracoabdominal access is considerably higher than in transabdominal approach. The Sapozhnikov-Judin technic yields the least per cent of anastomotic suture incompetency (2%), whereas the Gilyarovich method--the highest (18.7%). The use of three-row sutures in formation of the anastomosis decreases twice the percent of suture incompetency. Extension of gastrectomy to a combined one does not increase the percentage of suture incompetency. Constant improvement of the Sapozhnikov-Judin method might permit to reduce to a minimum the anastomosis suture incompetency in gastrectomy.
D004947:Esophagus / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D007421:Intestine, Small / Q000601:surgery*; D008722:Methods; D010437:Peptic Ulcer / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery; D013536:Suture Techniques
Sravnitel'naia otsenka neposredstvennykh rezul'tatov gastrektomii s raznymi vidami pishchevodo-kishechnogo anastomoza