[Esophagojejunal anastomoses with the EEA stapler after total gastrectomy. Technic and immediate results apropos of a recent series of 32 cases].
32 consecutive total gastrectomies for cancer (20 extended total gastrectomies) were carried out through an abdominal approach. Reconstruction using a Rouxen-Y loop (28 cases) or an interposed jejunal loop (four cases) was done with an EEA stapled oesophago jejunostomy: 25 end to side and 5 end to end anastomosis were performed and two technical failures led to complete manual anastomosis. All patients have had post-operative X-ray examination: there was no anastomotic leakage in this series, even in the 3 patients (10%) who have died during the post-operative course. A critical study of this series and eight others one from elsewhere is presented: it is concluded that the stapling device allows an easier and safer oesophagojejunostomy than manual procedure, when great care is taken of technical details.
Service de Chirurgie Générale et Digestive, Hôpital de la Conception, Marseille.
Y P
YP
Le Treut
J R
JR
Delpero
P
P
Sabiani
B
B
Berthet
E
E
Bozon-Verduraz
B
B
Pol
R
R
Bricot
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D013528:Surgical Staplers; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*; D013997:Time Factors
Anastomoses oeso-jéjunales à la pince EEA après gastrectomie totale. Technique et résultats immédiats à propos d'une série récente de 32 cas.