Abstract:
:Laparoscopic esophagojejunostomy is a challenging procedure because of its technical difficulty. We herein report a new method involving circular-stapled anastomosis using a hand-sewn suture with four stay-sutures and evaluate its outcomes. Esophagojejunostomy using this method was performed in 36 consecutive patients with clinical stage I gastric cancer at the authors' institutions. The key feature of our procedure was the placement of four full-thickness stay-sutures to anchor the esophageal stump prior to the hand-sewn purse-string suture. The median operation time and mean anvil fixation time were 315.5 and 21.9 min, respectively. The mortality rate was 0%, although anastomotic leakage following esophagojejunostomy was observed in 1 patient (2.8%), and anastomotic stenosis was observed in another patient (2.8%). Intracorporeal esophagojejunostomy using the four stay-sutures method appears to be safe and feasible. We believe that this method enables hand-sewn purse-string suturing to be performed more easily.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Sano A,Ojima H,Ogawa A,Ogata K,Saito K,Fukasawa T,Sohda M,Fukai Y,Mochida Y,Fukuchi M,Naitoh H,Saeki H,Shirabe Kdoi
10.1007/s00595-019-01867-wsubject
Has Abstractpub_date
2020-03-01 00:00:00pages
314-319issue
3eissn
0941-1291issn
1436-2813pii
10.1007/s00595-019-01867-wjournal_volume
50pub_type
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