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- Title
Four stay-sutures method: a simplified hand-sewn purse-string suture in laparoscopic circular-stapled esophagojejunostomy.
- Authors
Sano, Akihiko; Ojima, Hitoshi; Ogawa, Atsushi; Ogata, Kyoichi; Saito, Kana; Fukasawa, Takaharu; Sohda, Makoto; Fukai, Yasuyuki; Mochida, Yasushi; Fukuchi, Minoru; Naitoh, Hiroshi; Saeki, Hiroshi; Shirabe, Ken
- Abstract
Laparoscopic esophagojejunostomy is a challenging procedure because of its technical difficulty. We herein report a new method involving circular-stapled anastomosis using a hand-sewn suture with four stay-sutures and evaluate its outcomes. Esophagojejunostomy using this method was performed in 36 consecutive patients with clinical stage I gastric cancer at the authors' institutions. The key feature of our procedure was the placement of four full-thickness stay-sutures to anchor the esophageal stump prior to the hand-sewn purse-string suture. The median operation time and mean anvil fixation time were 315.5 and 21.9 min, respectively. The mortality rate was 0%, although anastomotic leakage following esophagojejunostomy was observed in 1 patient (2.8%), and anastomotic stenosis was observed in another patient (2.8%). Intracorporeal esophagojejunostomy using the four stay-sutures method appears to be safe and feasible. We believe that this method enables hand-sewn purse-string suturing to be performed more easily.
- Subjects
SUTURES; STOMACH cancer; STAPLERS (Surgery)
- Publication
Surgery Today, 2020, Vol 50, Issue 3, p314
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-019-01867-w