The complications related to esophagojejunal anastomosis are among the leading issues in the postoperative period of total gastrectomy. This review aims to evaluate the surgical outcomes of hand-sewn esophageal anastomosis compared to mechanical anastomosis for the reconstruction of total gastrectomy. Methods A systematic review and meta-analysis of comparative studies evaluating hand-sewn and stapled anastomosis was performed. Results A total of 12 studies were selected, comprising 1761 individuals. The operation time was higher in the hand-sewn anastomosis group (mean difference [MD] = 22.13 minutes; 95%CI: 3.97, 40.29). However, the risk for anastomotic fistula was not different between the groups (difference risk [DR] = 0.00; 95%CI: −0.03, 0.03). Also, the rate of intracavitary abscess (DR = -0.02; 95%CI: −0.07, 0.02); the reoperation rate (DR = -0.00; 95%CI: −0.01, 0.01); postoperative complications (DR = 0.12; 95%CI: −0.01, 0.25); postoperative mortality (DR = 0.02; 95%CI: −0.02, 0.06); anastomotic stenosis (DR = -0.01; 95%CI: −0.03, 0.00); and length of hospital stay (mean difference [MD] = 3.52 days; 95%CI: −0.49, 7.53) were no different between groups. Conclusion The results indicate that the hand-sewn and stapled esophageal anastomosis have similar surgical outcomes. Stapled anastomosis has a shorter operation time being.

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cholecystectomy require further examination of the reduced clinic referrals and elective surgery wait times, considering the well-known delays for procedures in our vulnerable patient population. Table Characteristics of Cholecystectomy Operations Pre-SIP (n¼88) Post-SIP (n¼84) P-value Female gender (n [%]) 64 (72.7%) 60 (71.4%) 0.85 Age (y, mean +/-SD) 47.1 +/-15.246.1 +/-17.10.35 Emergent surgery (n [%]) 61 (69.3%) 61 (72.6%) 0.60 Wait time for elective surgery (months, mean +/-SD) 4.8 +/-2.5 5.1 +/-4.2 0.76 Wait time for emergent surgery (days, mean +/-SD) 3.2 +/-3.4 2.7 +/-2.0 0.30 Length of hospital stay (days, mean +/-SD) 4.