|
KMID : 0371319970520040529
|
|
Journal of the Korean Surgical Society
1997 Volume.52 No. 4 p.529 ~ p.534
|
|
|
Gastrojejunostomy with Stapling Technique in Billroth II Gastrectomy
|
|
황신
오성태/육정환/김병식/박건춘
|
|
|
Abstract
|
|
|
Various methods of gastrojejunostomy can be used in Billroth II gastrectomy. Two-layer sutures such as Albert-Lembert type provide more secure anastomosis and one-layer sutures such as Gambee type show better mucosal apposition. To take advantage
of
merits from the two suture types, we adopted a stapling technique in gastrojejunostomy. We have performed 131 cases of stapling gastrojejunostomy and the results were compared with those of 313 conventional manual anastomosis. Stapling
gastrojejunostomy
consists of partial gastric resection, insertion of GIA stapler forks into jejunal and gastric openings at the greater curvatures side, firing, closure of the stapler insertion site and the placing of reinforcing sutures to the apex of the apex
of
the
anastomosis. This method shortened the operation time and did not worsen the postoperative recovery course. Gastrojejunostomy complications requiring laparotomy occurred in 5 cases(3.8%) in stapling group. Complication cases showed adhesive ileus
with
efferent loop obstructions, which were resolved by bypass and adhesiolysis. In manual group, 5 cases(1.6%) were explored due to adhesive bowel obstructions and anastomosis site bleeding. We concluded that stapling gastrojejunostomy is a safer and
faster
technique which can replace conventional manual anastomosis.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|