Skip to main content
PMC home page
Annals of Surgery logoLink to Annals of Surgery
. 1981 Jun;193(6):825–830. doi: 10.1097/00000658-198106000-00019

EEA stapler and omental graft in esophagogastrectomy: experience with 30 intrathoracic anastomoses for cancer.

F Fekete, P Breil, H Ronsse, J C Tossen, F Langonnet
PMCID: PMC1345181  PMID: 7247526

Abstract

Experience with the EEA stapler device used in 30 esophagogastric resections for cancer with intrathoracic anastomosis, is reported. The mortality rate was 13.3%. The anastomotic failure rate was 3.3% (1/30) with only one death; three asymptomatic blind fistulas were found on a routine contrast examination of the anastomosis. It is felt that esophagogastric EEA stapled anastomosis associated with an omental graft is a very safe technique.

Full text

PDF
828

Images in this article

827Fig. 4.
on p.827
828Fig. 5.
on p.828
829Fig. 6.
on p.829

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abbes M. J., Richelme H., Demard F. Surgical science in France. The greater omentum in repair of complications following surgery and radiotherapy for certain cancers. Int Surg. 1974 Feb;59(2):81–86. [PubMed] [Google Scholar]
  2. Belsey R., Hiebert C. A. An exclusive right thoracic approach for cancer of the middle third of the esophagus. Ann Thorac Surg. 1974 Jul;18(1):1–15. doi: 10.1016/s0003-4975(10)65712-8. [DOI] [PubMed] [Google Scholar]
  3. Chassin J. L. Esophagogastrectomy: data favoring end-to-side anastomosis. Ann Surg. 1978 Jul;188(1):22–27. doi: 10.1097/00000658-197807000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Collis L. H. Surgical treatment of carcinoma of the oesophagus and cardia. Br J Surg. 1971 Oct;58(10):801–804. doi: 10.1002/bjs.1800581025. [DOI] [PubMed] [Google Scholar]
  5. Fisher R. D., Brawley R. K., Kieffer R. F. Esophagogastrostomy in the treatment of carcinoma of the distal two-thirds of the esophagus. Clinical experience and operative methods. Ann Thorac Surg. 1972 Dec;14(6):658–670. doi: 10.1016/s0003-4975(10)65280-0. [DOI] [PubMed] [Google Scholar]
  6. Goldsmith H. S., De los Santos R., Beattie E. J., Jr Experimental protection of vascular prosthesis by omentum. Arch Surg. 1968 Dec;97(6):872–878. doi: 10.1001/archsurg.1968.01340060050004. [DOI] [PubMed] [Google Scholar]
  7. Hermreck A. S., Crawford D. G. The esophageal anastomotic leak. Am J Surg. 1976 Dec;132(6):794–798. doi: 10.1016/0002-9610(76)90461-x. [DOI] [PubMed] [Google Scholar]
  8. Lacroix A., Escat J., Fourtanier G., Anduze Y. Anastomoses circulaires á la pince anastomotique E.E.A. (end end anastomosis) en chirurgie digestive. Nouv Presse Med. 1979 Jun 16;8(27):2279–2281. [PubMed] [Google Scholar]
  9. Lanter B., Mason R. A. Use of omental pedicle graft to protect low anterior colonic anastomosis. Dis Colon Rectum. 1979 Oct;22(7):448–451. doi: 10.1007/BF02586925. [DOI] [PubMed] [Google Scholar]
  10. MOORE T. C., GOLDSTEIN J. Use of intact omentum for closure of full-thickness esophageal defects. Surgery. 1959 Jun;45(6):899–904. [PubMed] [Google Scholar]
  11. Maillard J. N., Launois B., Lellouch J., Lortat-Jacob J. L., de Lagausie Cause of leakage at the site of anastomosis after esophagogastric resection for carcinoma. Surg Gynecol Obstet. 1969 Nov;129(5):1014–1018. [PubMed] [Google Scholar]
  12. Mohansingh M. P. Mortality of oesophagal surgery in the elderly. Br J Surg. 1976 Aug;63(8):579–580. doi: 10.1002/bjs.1800630804. [DOI] [PubMed] [Google Scholar]
  13. Nance F. C. New techniques of gastrointestinal anastomoses with the EEA stapler. Ann Surg. 1979 May;189(5):587–600. doi: 10.1097/00000658-197905000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Otte J. B., Pringot J., Fiasse R., Bourdeaux L., Kestens P. J. A propos de deux artifices techniques utiles pour le traitement chirurgical des perforations de l'oesophage thoracique. Acta Chir Belg. 1975 Mar;74(2):111–124. [PubMed] [Google Scholar]
  15. Papachristou D. N., Fortner J. G. Anastomotic failure complicating total gastrectomy and esophagogastrectomy for cancer of the stomach. Am J Surg. 1979 Sep;138(3):399–402. doi: 10.1016/0002-9610(79)90271-x. [DOI] [PubMed] [Google Scholar]
  16. Ravitch M. M., Steichen F. M. A stapling instrument for end-to-end inverting anastomoses in the gastrointestinal tract. Ann Surg. 1979 Jun;189(6):791–797. doi: 10.1097/00000658-197906000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Steichen F. M., Ravitch M. M. Mechanical sutures in esophageal surgery. Ann Surg. 1980 Mar;191(3):373–381. doi: 10.1097/00000658-198003000-00019. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Weibel M. A., Majno G. Peritoneal adhesions and their relation to abdominal surgery. A postmortem study. Am J Surg. 1973 Sep;126(3):345–353. doi: 10.1016/s0002-9610(73)80123-0. [DOI] [PubMed] [Google Scholar]
  19. Wu Y. K., Huang K. C. Chinese experience in the surgical treatment of carcinoma of the esophagus. Ann Surg. 1979 Sep;190(3):361–365. doi: 10.1097/00000658-197909000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES