1. Clinical efficacy of the stapled anastomosis in esophageal reconstruction.
- Author
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Sugimachi K, Ikeda M, Ueo H, Kai H, Okudaira Y, and Inokuchi K
- Subjects
- Humans, Postoperative Complications prevention & control, Sutures standards, USSR, United States, Esophageal Neoplasms surgery, Esophagoplasty methods, Stomach surgery, Surgical Staplers standards
- Abstract
We have clinically evaluated Russian and American stapling devices used for esophageal reconstruction and compared the results following stapled anastomosis with those following hand-sutured procedures, both performed by the same surgeon. With the Russian stapler, anastomoses performed in 17 patients with carcinoma of the thoracic esophagus resulted in only one (5.9%) anastomotic leak; in 12 hand-sutured anastomoses and in 11 anastomoses done with an American stapler, no anastomotic complication occurred. Thus, a long gastric tube with good blood supply is of paramount importance, and if the technical details of surgical stapling can be overcome, a stapled anastomosis appears to be as safe as a manual suturing for patients undergoing esophageal reconstruction.
- Published
- 1982
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