Anastomose esôfago-jejunal látero-lateral com grampeador linear cortante complementada por sutura manual

One of the most difficult procedures in digestive-tract surgery is esophago-jejunal anastomosis following total gastrectomy. Cost/benefit analysis of this procedure justifies the use of mechanical staplers, in spite of their high cost. A technical variant of the side-to-side esophago-jejunal anastomosis is presented, which incorporates the use of a cutting linear stapler. Technical maneuvers are easy to perform, the cost of the cutting linear stapler is smaller than the circular ones, the amplitude of the anastomosis is wider and the likelihood of fistulae is smaller when compared to other techniques. The side-to-side esophago-jejunal anastomosis with the cutting linear stapler is always complemented by a manual suture.

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Bibliographic Details
Main Authors: Alcântara,Paulo Sérgio Martins, Margarido,Nelson Fontana
Format: Digital revista
Language:Portuguese
Published: Colégio Brasileiro de Cirurgiões 2003
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912003000100012
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