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The single-layer continuous suture for gastric anastomosis.
N Demartines1, J M Rothenbühler, J P Chevalley
1Department of Surgery, University of Basle Medical School, Switzerland.
World Journal of Surgery
|July 1, 1991
Summary
The single-layer continuous suture technique is a safe and effective method for gastroenteric anastomosis after partial gastrectomy. This reliable surgical approach demonstrates a low complication rate, making it a preferred choice for surgeons.
Area of Science:
- Surgical Techniques
- Gastrointestinal Surgery
- Oncology
Background:
- The single-layer continuous suture technique is established as safe for intestinal anastomoses.
- Its application has expanded to gastroduodenostomy and gastrojejunostomy procedures post-partial gastrectomy since 1985.
Purpose of the Study:
- To evaluate the safety and efficacy of the single-layer continuous suture technique in gastroenteric anastomoses.
- To assess the complication rates associated with this technique in partial gastrectomy patients.
Main Methods:
- Retrospective analysis of 96 gastroenteric anastomoses performed between 1985 and 1989 using the single-layer continuous suture technique.
- The technique was utilized in 64% of all partial gastrectomies during the study period, increasing to 89.5% in 1988-1989.
Main Results:
- A low complication rate of 2.1% clinical leakage was observed.
- Leakage occurred exclusively in patients with perforated ulcer and peritonitis, suggesting specific risk factors.
Conclusions:
- The single-layer continuous suture technique is a safe, simple, quick, and reliable method for gastroenteric anastomosis.
- This technique is well-suited for various partial gastrectomy reconstructions.