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Minerva Chirurgica 1999 June;54(6):389-94

language: Italian

Mechanical reconstruction after total gastrectomy. Analysis of results

Santini L., Conzo G., Caracò C., Esposito B., De Stefano P., D'Ardis A.


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Background. Stapling devices introduction in gastroesophageal surgery has allowed better results.
Methods. An analysis is made of a consecutive series of 108 patients operated on with total gastrectomy and mechanical esophagojejuno-stomy for gastric neoplasm, in the last decade (1984-1995).
Results. The incidence of anastomotic clinical leakage was 2.4% with a perioperative mortality of 0.9% (1 patient) while the incidence of stenosis, treated in every patient with endoscopic dilatation, was 3.2%. These data are in accordance with previous reports. After an accurate analysis of the factors influencing the complication rate pointed out that in most of the cases a technical error in the anastomosis confection is present.
Conclusions. The conclusion is drawn that the use of stapling devices in gastroesophageal surgery represents an elective indication. Never-theless it is mandatory to respect the principles of visceral mechanical anastomosis after an adeguate training.

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