J.Jpn. Surg. Soc.. 80(11): 1155-1158, 1979

---

Report on the annual meeting

SUTURE METHODS OF ESOPHAGOJEJUNOSTOMY AT THE NECK AFTER RESECTION OF THORACIC ESOPHAGUS FOR CARCINOMA

During the recent 6 years, we have reconstructed thoracic esophagus using the jejunum in 60 patients and the result of esophagojejunostomy was analyzed in 53 cases. The pull-up route of jejunum to the neck was either through antesternal or retrosternal space. The anastomosis was performed in 3 types, end-to-end, end-to-side and ρ type. The method of anastomosis consisted of two types; early series of Albert-Lembert two layer suture and recent series of layer-to-layer suture. Silk (3-0), P.G.A. (3-0) and Dacron (4-0) were used as suture materials and the process of wound healing at anastomosis was studied by endoscope, X-ray and microscopic tissue section of the autopsied samples.
The results were summarised as follows:
1) The best route of jejunum to the neck was the retrosternal route and resection of sternal manubrium with or without midsternostomy for prevention of mesenteric torsion.
2) Excellent result was obtained in ρ type anastomosis in terms of anastomotic integrity.
3) Precise approximation layer-to-layer anastomosis the many interrupted sutures with 4-0 Dacron was superior to the two layer method with silk or P.G.A..

---

---

To read the PDF file you will need Adobe Reader installed on your computer.