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A technical aid in stapled esophagojejunal anastomosis
N Basso1, S Minervini, M Marcelli
1Semeiotica, Chirurgica VI, Universitá La Sapienza, Rome, Italy.
Abstract:
A technique that allows a safer use of the pursestring applicator in stapled esophagojejunostomy is described. By means of five stitches, all esophageal layers are incorporated in the stapled line. Thus, missing a segment of esophageal mucosal layer is avoided. No clinical or radiologic leak was observed in 48 patients who underwent total gastrectomy using this technique.