[Triangular anastomoses in surgery of the stomach]

The mode of triangulation in the anastomoses of the stomach and the duodenum (thrice-repeated usage of linear suturing apparatuses in shaping anastomoses) is a perspective way for improvement of the results of surgical treatment of these organs. The results of 216 cases have shown that the use of the triangular anastomoses in gastric surgery allows a decrease in the rate of complications because of anastomosis failure in early postop period more than 3.5 times. The healing of such anastomoses proceeds by primary intention and in short terms and is accompanied by minimal inflammatory reaction. The course of restoration of the motor and evacuation function of the stomach after creation of such anastomoses is characterized by early, partial and timely evacuation. In remote postoperative period mechanical everted anastomoses, made up by linear suturing apparatuses, provide absence of the tendency for cicatricial strictures and stipulation of motor and evacuation functional characteristics of the stomach. The authors believe that beneficial impact of this method on gastric function allows to recommend it for wider use in surgery of the stomach.