[Apparatus LPK-25 for esophago-intestinal anastomoses in gastrectomy and proximal resection of stomach].
New method for performance of compression esophago-intestinal lasso-anastomosis is proposed. Th main point of the anastomosis consists in pressing of bowel walls to esophageal walls at small cuff by latex ring fixed by special apparatus LPK-25 introduced into the lumen of the bowel through additional incision which is anastomosed with the esophagus. Stretched latex ring creates elastic squeesing of tissues on caval cuff and stops blood flow. Cranially to the zone of compression accretion of esophageal walls with the bowel occurs, and caudally to this zone necrosis has appeared, which resulted in rejection of all compressing construction. These experimental and clinical examinations (31 gastrectomies, 1 proximal resection of the stomach) have demonstrated perspective of compressive lasso-anastomosis and its advantages in comparison with mechanical stapling and conventional hand-made intestinal suture with threads.
Kanshin
N N
NN
Volenko
A V
AV
Kanshin
A N
AN
Titiova
G P
GP
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery; D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation*; D000818:Animals; D004867:Equipment Design; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D007421:Intestine, Small / Q000601:surgery*; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery; D013536:Suture Techniques / Q000295:instrumentation*