J.Jpn. Surg. Soc.. 80(11): 1150-1154, 1979

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Report on the annual meeting

ADVANTAGES OF GAMBEE'S ONE-LAYER ANASTOMOSIS AND OUR ANASTOMOTIC TECHNIC

Gambee's gastro-intestinal anastomotic technic was proposed by L.P. Gambee, general surgeon of United States in 1951. This technic is classified to the one-layer end-on anastomosis using vertical mattress suture. It has been suggested that this anastomosis has a lot of advantages, i.e. 1) better healing process proved by our experimental studies of incidence of leakage, macroscopic and microscopic observation, microangiogram, bursting strength and collagen synthesis. 2) low degree of anastomotic narrowing. and 3) shorter time consuming.
Clinical result of Gambee's anastomosis is superior to traditional two-layer inverting anastomosis in our hospital in the period from 1973 to 1978. Incidence of anastomotic leakage (including nonclinical fine leakage proved only by X-ray examination) was 7/579, 1.2% in Gambee, and was 42/1313, 3.2% in two-loyer anastomosis (P 0.01). According to our experiences, Gambee's technic is advisable to use in the anastomoses of esophagus and colon as well as stomach and small intestine, and in the poor risk cases, such as low nutrition, diabetic, peritonitis, and intestinal obstruction.
In this cine-symposium, we will present the movie of our technics of Gambee's anastomosis in esophago-jejunostomy, gastro-duodenostomy and jejuno-jejunostomy.

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