SIMPLIFIED ANASTOMOSIS OF UPPER GI TRACT BY MEANS OF THE AUTO-SUTURE EEA INSTRUMENT

MIYAMOTO YUKIO, SATO YASUHIRA, IKEYA TOSHIO, TAKESHITA MASAAKI, SUDO EIZIN, OTAKE YUUZI, UCHIDA KENZI, ROPPONGI TAKASHI, ARAI GO, KOBORI TETSUO, TOGO YASUSHI, IZUO MASARU

doi:10.2974/kmj1951.31.475

For ten patients with gastric cancer, the oesophagojejunal and oesophagogastric anastomoses were practised by the auto-suture EEA. Two patients with bleeding oesophageal varices were treated by oesophageal transection using the EEA. Although most of the patients had entirely satisfied operative procedures and uneventful postoperative couses, there were several postoperative complications.<BR>The 68-year-old man with gastric cancer developed a temporary anastomotic leakage and died about six weeks after surgery. The 50-year-old woman with oesophageal varices. Who was treated by oesophageal transection developed severe dysphagia for a few weeks after operation. She required dilation of the oesophagus three times. This kind of instrumental anastomoses peformed with the EEA, however, appear to be made faster and safer function than when manual suturing is used. The use of the EEA in gastric oesophageal surgery can shorten operating time securely. These results suggest that anastomoses using EEA may be useful in surgery for the patients with gastric cancer and oesophageal varices.

SIMPLIFIED ANASTOMOSIS OF UPPER GI TRACT BY MEANS OF THE AUTO-SUTURE EEA INSTRUMENT

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