[Single-layer suture to re-establish the digestive continuity following partial gastrectomy].
We have introduced progressively since 1985 the single-layer continuous suture technique for gastroenteric anastomoses, since this technique has been proved to be safe in colonic anastomosis. From 117 gastrectomies performed between 1985 and 1988, 68 gastroenteric anastomoses were performed with the single-layer continuous suture technique (58%). In 1988 this technique has been applied to 92.5% of the gastroenteric anastomoses. The complication rate is low: 3% clinical leakage were found. We concluded that the single-layer continuous suture technique for gastroenteric anastomoses is safe, very simple and easy to perform. It is the logical extension to large and small bowel anastomoses that we have been doing, using this technique for over 4 years now with excellent results.
Département de chirurgie de l'Université, Hôpital cantonal, Bâle.
N
N
Demartines
J P
JP
Chevalley
J M
JM
Rothenbühler
F
F
Harder
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000601:surgery*; D013276:Stomach Ulcer / Q000601:surgery*; D013536:Suture Techniques
Le surjet en un plan dans le rétablissement de la continuité digestive après gastrectomie partielle.