J.Jpn. Surg. Soc.. 80(11): 1164-1167, 1979
Report on the annual meeting
A SAFER AND MORE RELIABLE OPERATIVE TECHNIQUE FOR ESOPHAGEAL RECONSTRUCTION USING A GASTRIC TUBE
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*) Department of Surgery Ⅱ, Kyushu University, Shcool of Medicine, Fukuoka 812, Japan Keizo Sugimachi*), Kiyoshi Inokuchi*), Yasuyuki Okudaira*), Hiroaki Ueo*), Yasunori Natsuda*), Masahito Ikeda*), Teruhisa Nakamura**), Akira Yaita**) |
A safer and more reliable method of esophageal reconstruction, using a gastric tube, is devised. The procedure to create an elongated gastric tube involves separate cutting of the seromuscular and mucosal layer along the line extending parallel to and 4 cm from the greater curvature of the stomach. The end of the cervical esophagus is anastomosed to the posterior wall of the gastric tube in end-to-side fashion. In addition, circumferential cutting of the seromuscular layer of the gastric tube at about 5 cm from the anastomotic line is performed to avoid tension resulting from postoperative shrinkage of the gastric tube due to the muscle contraction. Combination of these methods, no postoperative anastomotic leakage occurred, indicating that these methods are highly valuable in patients requiring esophageal reconstruction following subtotal esophagectomy for the treatment of esophageal cancer.
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