HAND-SEWN GASTROINTESTINAL ANASTOMOSES USING CONTINUOUS VERTICAL MATTRESS SUTURE

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  • 連続垂直マットレス縫合を用いた手縫いの消化管吻合

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The continuous vertical mattress technique for anastomoses in the gastrointestinal or colorectal surgery has not been well reported in the literature. We use the technique (“Continuous Gambee's method”) for all hand-sewn anastomoses with a double-armed monofilament absorbable suture. In the 535 consecutive anastomoses, there were 4 anastomotic leakages (0.75%) and 1 anastomotic stricture (0.19%). Intestinal obstruction and peritoneal dissemination of cancer were statistically significant risk factors of the leakege (_??_0.001). The technique is feasible and economical and achieves satisfactory results. It may be used for every case requiring hand-sewn gastrointestinal anastomosis.

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