Modified Gambee anastomosis in esophageal - gastric anastomosis of.doc

 PAGE \* MERGEFORMAT 11 Modified Gambee anastomosis in esophageal - gastric anastomosis of [Abstract] Objective To study the esophageal tumor, cardiac tumor resection line after the reconstruction of esophagus when the esophagus to the stomach - stomach stapling technique improvement, prevention of anastomotic leakage and stenosis. Methods Gambee full-thickness single-layer anastomosis, and intermittent application of single-layer anastomosis alternately. The results using this method, 286 patients with anastomosis, anastomotic leakage rate of 2.7% (4 / 146), anastomotic stricture scar 0.7%. Does not appear intrathoracic anastomotic leakage and short-term anastomotic stenosis. Conclusion This method applies to the esophagus - stomach anastomosis, especially for resection of gastric cardia more arch lower esophageal - gastric resection of esophageal anastomosis and esophageal cancer - gastric neck anastomosis. To date, widely used in the case of stapling, suturing techniques esophagus, stomach anastomosis is still the surgeon must be familiar with the basics, this article describes the improvement Gambee anastomosis with the promotion application. [Keywords:] anastomosis; Improvement Act; esophagus - stomach anastomosis; fistula; narrow [Abstract] Objective Inquiring into the improvement of esophagus-stomach anastomosis when the esophagus is supported by the stomach and rebuilt cardiac cancers postures are cut, to prevent fistula and narrowness growing out of anastomotic cut.Methods Unlined Gambee anastomotic method alternates with all-layer -disconnecting unlined anastomotic method.Results Among the 286 cases cured by the anastomotic method, the percentage of neck fistula from the anastomotic cut is 2.7% (4 / 46), and the rate of scar narrowness from the anastomotic cut is 0.7%. There is no thoracic fistula or short-stomach anastomosis, esp.for arch exophagus-stomach anastomosis when a larger part of the stomach is cut because of cardiac cancers and for