[Anastomoses with automatic suture instruments in total gastrectomy (author's transl)]

The authors describe a technique of total gastrectomy using exclusively automatic suture instruments. The Y-shaped jejunal loop is successively anastomosed with the abdominal oesophagus and the proximal jejunum by means of an EEA stapler introduced through a contra-incision in the jejunal wall and directed upwards, then downwards. The duodenum and the contra-incision are closed with a T30 stapler. Pre-anastomosis purse-string sutures are performed with an ASP 50 instrument. This method restores digestive tract continuity with complete safety.