[Application of Gambee's single layer anastomosis in cervical esophagogastrostomy]

To decrease the incidence of postoperative leakage, we used the Gambee's method of single layer anastomosis in cervical esophagogastrostomy for carcinoma of the hypopharynx and superior segment of the esophagus. Since December 1985, this method has been used in 76 cases resulting leakage in only 2 cases (2.6%). The technique of Gambee's single layer anastomosis is described in this paper. It is very important to keep the mucosa and submucosa layers in close contact to promote healing of the anastomosis. It is concluded that Gambee's single layer anastomosis is a good and safe operative technique for cervical esophagogastrostomy.