Abstract
With an advancement in the operative treatment of gastrointestinal cancers, there is a tendency toward increased cases of gastrotroinestinal reconstruction. At present, such reconstruction is mainly carried out by the procedure involving the use of ILS, TA, GIA and other snap sutures developed in the U.S.A. However, these snap sutures cannot always produce satisfactory results, while no such sutures made in Japan are available for clinical application. essential requirements for a snap suture to be used in gastroint estinal reconstruction include short operation time, no bleeding, complete suture and no postoperative stricture.
To meet these requirements, I recently devised a pliers type snap suture made up of a “pusher”, “cartridge” and “plate with umbilically-shaped holes”. This snap suture is designed for use in suturing various organs by one-touch operation. Clinically applied to this snap suture was a total of ten cases of gastrointestinal resection-two of gastric cancer, three of gastric ulcer, two of sigmoid cancer, one of intestinal obstruction, one of transverse colon polyp and one of ulcerative colitis (descending colon). The results of this clinical application have showed that my newly devised suture can meet the above-mentioned requirements.
