FIELD: medicine, surgery, oncology. SUBSTANCE: esophagus and edge of gastric stump should be invaginated into lumen of gastric stump being below suture's level. Moreover, one should suture posterior esophageal walls and gastric stump with P- shaped sutures by leaving about 2.6-3.5 cm against resection edge. Then sutures should be applied onto lateral esophageal walls and gastric stump. One should suture mucous membranes of esophagus and gastric stump along the perimeter by "the end-to-the end" technique. Then invagination should be performed. Anterior wall of anastomosis should be strengthened with serous-muscular sutures. The method enables to increase reliability and functional properties of anastomosis. EFFECT: higher efficiency. 3 dwg, 1 ex
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Authors
Dates
2003-06-20—Published
2000-08-07—Filed