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[Total gastrectomy with mechanical sutures]

G Funariu1, C Pop, M Suteu

  • 1Clinica Chirurgie I, UMF Iuliu Haţieganu, Cluj-Napoca.

Chirurgia (Bucharest, Romania : 1990)
|October 2, 1998
PubMed
Summary

Stapled sutures in total gastrectomy simplify esophagojejunal anastomosis, enhancing suture reliability for stomach cancer and lymphoma patients. This technique demonstrated a low complication rate in a small patient cohort.

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Area of Science:

  • Surgical Oncology
  • Gastrointestinal Surgery
  • Surgical Technology

Context:

  • Total gastrectomy is a complex procedure for advanced stomach cancer and lymphoma.
  • Esophagojejunal reconstruction is a critical step influencing postoperative outcomes.
  • Stapled techniques offer potential advantages in anastomosis creation.

Purpose:

  • To evaluate the safety and efficacy of stapled sutures for esophagojejunal anastomosis in total gastrectomy.
  • To assess the reliability and complication rates associated with stapled techniques.

Summary:

  • Nine patients with middle or upper stomach carcinoma or lymphoma underwent total gastrectomy between 1994-1996.
  • Digestive continuity was restored using stapled Roux-en-Y or omega loop esophagojejunal anastomoses with circular staplers.
  • Duodenal stump and Roux loop closure utilized linear staplers; interjejunal anastomoses were hand-sewn. Nasojejunal feeding catheters were used for ten days.
  • No mortality or anastomotic fistula occurred; one patient had spontaneous duodenal stump leakage.
  • Late follow-up revealed two cases of reflux esophagitis and one instance of metastatic disease.

Impact:

  • Stapled sutures facilitate esophagojejunal anastomosis in total gastrectomy.
  • The technique improves suture reliability, potentially reducing complications.
  • This approach may enhance surgical outcomes for patients undergoing gastrectomy.

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