A technical aid in stapled esophagojejunal anastomosis.
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.
Basso
N
N
Semeiotica, Chirurgica VI, Universitá La Sapienza, Rome, Italy.
Minervini
S
S
Marcelli
M
M
Di Marco
M
M
D000713:Anastomosis, Roux-en-Y; D004947:Esophagus / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D013528:Surgical Staplers; D013536:Suture Techniques / Q000295:instrumentation*