[172 consecutive total gastrectomies for gastric cancer with Roux-en-Y loop reconstruction and without fistulization of the esophago-jejunal anastomosis].
In the treatment of gastric cancer total gastrectomy (TG) is one of the most important operation and the esophagojejunal anastomotic leakage is the most important early complication. In our series of 172 consecutive TGs (all controlled with Gastrografin-Rx in fifth postoperative day) we did not have any anastomotic fistula, independently from age, stage, type of limphadenectomy and visceral demolition. We believe that the correct technical performance is the most important factor in the esophagojejunal anastomosis.
Cicetti
M
M
UO Chirurgia Generale, Azienda Ospedaliera S Salvatore, Pesaro.
Corinaldesi
F
F
Costantini
P G
PG
Stafoggia
P
P
Tamburini
A
A
Tinti
A
A
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y; D004937:Esophageal Fistula / Q000517:prevention & control; D005260:Female; D005743:Gastrectomy; D006801:Humans; D007412:Intestinal Fistula / Q000517:prevention & control; D007579:Jejunal Diseases / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*; D016896:Treatment Outcome