J.Jpn. Surg. Soc.. 85(9): 887-892, 1984
Report on the annual meeting
EXPERIMENTAL AND CLINICAL STUDIES ON THE INTESTINAL ANASTMOSIS AND RECONSTRUCTION OF THE ALIMENTARY TRACT
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Second Srugical Department, School of Medicine, Kyoto University Kisaku SATOMURA, Hiroshi KATO, Kohichi TANAKA, Tetsuji HANAFUSA, Kazuo HONDA, Hiroshi TAKEMOTO, Shunji KIKUCHI, Yasuo NAKAJIMA, Kohki ARIOKA, Hirokazu JUJO, Keishi KIM, TANIGAWA*) |
1) Four-interrupted sutures anastomosis in the Wistar rats revealed recanalization without leakage in 64 out of 69.
2) Lymphangiotic recanalization through the anastomosis was completed within 21 days after operation by Gambee’layer-to-layer anastomosis. While 8 weeks were required by everted or inverted anastomosis.
3) Serosal surface of invaginated intestinal segment of which length corresponded to x1-x2φ in the telescoping anastpmosis was covered within 8 weeks by the proliferated mucosae of the both proximal and distal segments.
4) Telescoping anastomosis was found to be useful to make an intestinal valve which worked just the same as ileocoecal junction.
5) IVH and elementary diet were effective on the healing of anstomosis.
Accroding to the above mentioned findings, following operative procedures were recommended:
1) Esophago-jejunal conduit duodenostomy following total gastrectomy.
2) Choledocho-jejunal conduit duodenostomy with the intestinal valve as bile duct reconstruction.
3) Construction of the intestinal valve and an artificial sphincter using rectus abdominis muscle fibers for ileostomy or short bowel syndrome.
4) Endorectal pull-through operation for anterior-resection of the rectum as well as for radical treatment of Hirschsprung'disease.
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