[Submerged esophago-intestinal anastomosis in surgical treatment of gastric cancer].
The short-term results of 1,605 gastrectomies performed for stomach cancer, using different types of esophagoenterostomy, are discussed. Anastomotic leakage is the main criterion for a choice of the most optimal procedure of forming an anastomosis. The contribution of the first and second rows of sutures to leakage is evaluated. An analysis of data on anastomotic leakage incidence points to the advantages offered by application of submerged esophagus-related anastomosis. A new modification of procedure of formation of muffle-type of esophagoenterostomy is presented. Leakage was registered in 1.3% which was due to technical errors during surgery. The non-reflux properties of the anastomosis are emphasized, with particular emphasis on its reliability, good functional characteristics, simplicity and wide range of application. The clinical applications are described.
Klimenkov
A A
AA
N.N. Blokhin Center for Cancer Research, Russian Academy of Medical Sciences, Moscow.
Gubina
G I
GI
Nered
S N
SN
Itin
A B
AB
Kulaevskaia
V P
VP
Baronin
A A
AA
Sel'chuk
V Iu
VIu
D000714:Anastomosis, Surgical / Q000379:methods; D004386:Duodenum / Q000601:surgery; D004947:Esophagus / Q000601:surgery*; D005069:Evaluation Studies as Topic; D005743:Gastrectomy; D006801:Humans; D007421:Intestine, Small / Q000601:surgery*; D013274:Stomach Neoplasms / Q000601:surgery*; D013528:Surgical Staplers; D013536:Suture Techniques