Double layer versus Single layer Gastro-intestinal anastomosis in gastric cancer surgery in Mymensingh Medical College Hospital

Community Based Medical Journal

F Khanam¹  S Rahman²  S Haque³  SI Khan⁴  Ryhan Islam⁵  MM Hoque⁶  MA Khair⁷ 

[1] Assistant ProfessorDepartment of MicrobiologyNational Institute of Kidney Diseases and UrologySherebangla-Nager, Dhaka;Assistant Professor, Department of SurgeryMymensingh Medical College Hospital, Mymensingh;Gynae & Obs Specialist, Mymensingh.;Indoor Medical Officer, SurgeryMymensingh Medical College Hospital Mymensingh;Indoor Medical Officer, SurgeryMymensingh Medical College Hospital, Mymensingh;Registrar, SU-1Department of Surgery,Mymensingh Medical College Hospital, Mymensingh;Resident Surgeon (General Surgery)Department of SurgeryMymensingh Medical College Hospital Mymensingh

关键词: Anastomosis;    Single-layer;    Double-layer;    Gastrojejunostomy;   

DOI  :  10.3329/cbmj.v2i2.16695

学科分类：医学（综合）

来源: Community Based Medical College Bangladesh

【 摘 要 】

Introduction: In gastric cancer surgery, gastrojejunostomy is one of the most important procedures. Anastomosis between different parts of the stomach and the intestine is a basic technical component in all gastrointestinal procedure. Backgrounds and aims: This study evaluated complications of gastrojejunostomy in gastric cancer surgery with two methods: single-layer and double-layer anastomosis. Materials and methods: This study was carried out in the department of surgery in Mymensingh Medical College Hospital from January 1, 2009 to December 31, 2012. 100 patients with carcinoma stomach who needed gastrojejunostomy were included in this study. These patients with average age of 43.22 years were divided in two groups (50 in each group); single-layer and double-layer anastomosis. In single-layer anastomosis gastrojejunostomy was performed in interrupted method with absorbable suture (2/0 vicryl). Double-layer anastomosis was carried out with continuous suture (2/0 silk, 2/0 catgut). Possible post-operative complications like anastomotic leakage, pelvic abscess, abdominal sepsis, anastomotic stenosis and wound infection were evaluated. Results: In the single-layer group, 4 patients (8%) developed anastomotic leakage, wound infection and only 2 patients (4%) developed abdominal sepsis, pelvic abscess and anastomotic bleeding. No patient developed anastomotic stricture. In double-layer group, 2 (4%) patients developed anastomotic leakage, only 1 (2%) patient had pelvic abscess, abdominal sepsis and anastomotic bleeding but wound infection in 2 (4%) patients. Conclusion: Gastrojejunostomy with single-layer hand-sewn suture technique is safe without serious complications in comparison to double-layer suture technique. More-over operation time is less and cost is less in single-layer method.DOI:http://dx.doi.org/10.3329/cbmj.v2i2.16695Community Based Medical Journal 2013 July: Vol.02 No 02: 30-34

【 授权许可】

CC BY