[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.
Le Treut
Y P
YP
Service de Chirurgie Générale et Digestive, Hôpital de la Conception, Marseille.
Delpero
J R
JR
Sabiani
P
P
Berthet
B
B
Bozon-Verduraz
E
E
Pol
B
B
Bricot
R
R
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.