Intracorporeal circular‐stapled anastomosis after totally laparoscopic gastrectomy: A novel, simplest u‐shaped parallel purse‐string suture technique

2019 ◽  
Vol 120 (3) ◽  
pp. 501-507 ◽  
Author(s):  
Jianjun Du ◽  
Hongyuan Xue ◽  
Lizhi Zhao ◽  
Jin Hua ◽  
Jian Hu ◽  
...  
2018 ◽  
Vol 23 (1) ◽  
pp. 67-68 ◽  
Author(s):  
R. Wu ◽  
R. Benedict ◽  
A. Caycedo-Marulanda

2015 ◽  
Vol 3 (7) ◽  
pp. e453 ◽  
Author(s):  
Stephanie A. Caterson ◽  
Mansher Singh ◽  
Simon G. Talbot ◽  
Elof Eriksson

Author(s):  
Jo Anne Au Yong ◽  
Daniel D. Smeak

Abstract OBJECTIVE To compare 3 anal purse-string suture techniques for resistance to leakage and to identify the suture technique requiring the fewest tissue bites to create a consistent leak-proof orifice closure. ANIMALS 18 large-breed canine cadavers. PROCEDURES 3 purse-string suture techniques (3 bites with 0.5 cm between bites [technique A], 5 bites with 0.5 cm between bites [technique B], and 3 bites with 1.0 cm between bites [technique C]) were evaluated. Each technique involved 2-0 monofilament nylon suture that was placed in the cutaneous tissue around the anus and knotted with 6 square throws. Standardized 2.0-cm-diameter circular templates with the designated bite number and spacing indicated were used for suture placement. Leak-pressure testing was performed, and the pressure at which saline was first observed leaking from the anus was recorded. The median and interquartile (25th to 75th percentile) range (IQR) were compared among 3 techniques. RESULTS Median leak pressure for technique A (101 mm Hg; IQR, 35 to 131.3 mm Hg) was significantly greater than that for technique C (19 mm Hg; IQR, 14.3 to 25.3 mm Hg). Median pressure did not differ between techniques A and B (50 mm Hg; IQR, 32.5 to 65 mm Hg) or between techniques B and C. CLINICAL RELEVANCE Placement of an anal purse-string suture prevented leakage at physiologic colonic and rectal pressures, regardless of technique. Placement of 3 bites 0.5 cm apart (technique A) is recommended because it used the fewest number of bites and had the highest resistance to leakage.


2015 ◽  
Vol 22 ◽  
Author(s):  
Fatih Küçükdurmaz ◽  
Ismail Agir ◽  
Seyitali Gümüstas ◽  
Hakan kivilcim ◽  
Cihangir Tetik

2009 ◽  
Vol 16 (9) ◽  
pp. 2665-2666 ◽  
Author(s):  
Christof Hottenrott ◽  
Ernst Hanisch ◽  
Dimosthenis Ziogas ◽  
Dimitrios H. Roukos

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