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Mechanical suture methods in esophago-gastrointestinal anastomosis
The Japanese Journal of Surgery
|December 1, 1979
Summary
This study shows mechanical suturing using the SPTU all-round type apparatus is safe and effective for complex surgeries like total gastrectomy and intramediastinal anastomosis, offering reliable closures with minimal complications.
Area of Science:
- Thoracic Surgery
- Gastrointestinal Surgery
- Surgical Instrumentation
Background:
- Mechanical suturing is an alternative to traditional suturing in gastrointestinal surgery.
- Ensuring secure anastomoses in high-level intramediastinal procedures remains a challenge.
Purpose of the Study:
- To evaluate the safety and efficacy of the SPTU all-round type mechanical suturing device.
- To assess the reliability of this device for various gastrectomy and esophageal procedures.
Main Methods:
- The SPTU all-round type mechanical suturing device was used in 10 total gastrectomies, 6 proximal partial gastrectomies, and 7 esophageal transections.
- The instrument's ease of use and the quality of tissue closure were assessed.
- Complication rates, specifically anastomotic leaks, were monitored.
Main Results:
- The SPTU device demonstrated ease of use and produced reliable, high-quality closures without additional reinforcement.
- A single minor suture leak occurred in the intramediastinal esophagojejunostomy group and the proximal partial gastrectomy group.
- No leaks or complications were observed in the esophageal transection for varices group.
Conclusions:
- Mechanical suturing with the SPTU all-round type apparatus is safe and effective for preventing anastomotic failure.
- This method provides secure intramediastinal anastomosis, representing a significant advancement in thoraco-abdominal surgery techniques.