[Circular stapling anastomosis (EEA) following gastrectomy].
After total gastrectomy because of gastric malignancies 31 oesophagojejunostomies performed in end-to-side fashion using a standard manual technique were compared with oesophagojejunostomies performed in end-to-end fashion by mechanical stapling (EEA). After manual suturing there was a leak in 29% and 25.8% out of all patients died. After automatic mechanical suturing anastomotic failure was seen in 12.9% with a postmortality rate of 3.2%. These results show, that by mechanical stapling a secure oesophagojejunostomy is possible and the risk of gastrectomy can be reduced.
D000328:Adult; D002277:Carcinoma / Q000601:surgery; D004947:Esophagus / Q000601:surgery; D005260:Female; D005743:Gastrectomy / Q000295:instrumentation*; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008223:Lymphoma / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000601:surgery; D013528:Surgical Staplers; D013529:Surgical Wound Dehiscence / Q000517:prevention & control
Die zirkuläre Klammeranastomose (EEA) nach Gastrektomie.