STUDY OF ESOPHAGOJEJUNOSTOMY USING THE EEA STAPLER
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概要
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One hundred seventy-seven patients underwent total gastrectomy for gastric cancer. Rates of complication and death after stapled anastomoses were compared retrospectively with those after sutured anastomoses. In 155 patients esophagojejunostomy was performed with the EEA stapler and in 22 patients hand sutures were employed. No major differences could be noted among the background factors of the two groups. Roux-en-Y anastomosis was the most frequent mode of reconstruction performed in the stapled group. The rate of leakage was 3.8% in the former and 9.0% in the latter with no significant difference. Three patients (1.9%) died within 30 days of stapled anastomosis and in one of them death was caused by anastomotic leakage. There was one case (4.5%) of post-operative death in the sutured group. It seemed that the stapler was able to secure and facilitate esophagojejunostomy after total gastrectomy.
- 北関東医学会の論文
北関東医学会 | 論文
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