Comparison of manual and mechanical cervical esophagogastric anastomosis after esophageal resection for squamous cell carcinoma: a prospective randomized controlled trial

Hsu, Hsao‐Hsun; Chen, Jin‐Shing; Huang, Pei-Ming; Lee, Jang-Ming; Lee, Yung-Chie

doi:10.1016/j.ejcts.2004.02.026

Cited by 98 publications

(108 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Outcomes on the Effectiveness Anastomotic Leakages Nine trials [16,17,25,[31][32][33][34][35][36] reported on anastomotic leakages (p het =0.10, I 2 =40 %); the fixed model was used, and the available data showed that there was no difference in the incidence of anastomotic leakages (RR=1.30, 95 % CI 0.87-1.92, p =0.20). It meant that both HS and CS were equivalent in preventing the leakages.…”

Section: The Results Of Meta-analysismentioning

confidence: 99%

“…Of which, 55 records were selected through reading their titles and abstracts. After checking the full text in detail, nine RCTs [16,17,25,[31][32][33][34][35][36] were identified ultimately which involved 870 patients. Figure 1 shows PRISMA statement of search flows in detail.…”

Section: Selected Studiesmentioning

confidence: 99%

“…Of these nine RCTs [16,17,25,[31][32][33][34][35][36], six papers [16,17,25,[32][33][34] were conducted in English, one [31] in French, and Studies included in qualitative synthesis (n = 9)…”

Section: Baseline Characteristics and Risk Of Bias Of Included Studiesmentioning

confidence: 99%

“…Anastomotic Stricture Eight trials [16,17,25,31,[33][34][35][36] reported on anastomotic stricture (p het =0.008, I 2 =63 %); the random model was conducted. It had no benefit in the incidence of anastomotic stricture between the two groups (RR=0.97, 95 % CI 0.47-1.99, p =0.93).…”

Section: Outcomes On the Securitymentioning

confidence: 99%

“…Postoperative Mortality Six trials [16,17,25,31,33,34] reported on postoperative mortality (p het =0.65, I 2 =0 %); the fixed model was used, and the result showed that no difference was found in the rate of postoperative mortality (RR=0.83, 95 % CI 0.43-1.58, p =0.57). The GRADE system showed that the quality on postoperative mortality was moderate.…”

Section: Outcomes On the Securitymentioning

confidence: 99%

See 4 more Smart Citations

Hand-Sewn Versus Stapled Esophagogastric Anastomosis in the Neck: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Wang

Shi

et al. 2013

Indian J Surg

View full text Add to dashboard Cite

The application of cervical esophagogastric anastomoses was of great concern. However, between circular stapler (CS) and hand-sewn (HS) methods with anastomosis in the neck, which one has better postoperative effects still puzzles surgeons. This study aims to systematically evaluate the effectiveness, security, practicality, and applicability of CS compared with the HS method for the esophagogastric anastomosis after esophageal resection. A systematic literature search, as well as other additional resources, was performed which was completed in January 2013. The relevant randomized controlled trials (RCTs) about the surgical technique for esophageal resection were included. Trial data was reviewed and extracted independently by two reviewers. The quality of the included studies was assessed by the recommended standards basing on Cochrane handbook 5.1.0, and the data was analyzed via RevMan 5 software (version 5.2.0). Nine studies with 870 patients were included. The results showed that in comparing HS to CS methods with cervical anastomosis, no significant differences were found in the risk of developing anastomotic leakages (relative risk (RR)=1.30, 95 % confidence intervals (CI) 0.87-1.92, p =0.20), as well as the anastomosis stricture (RR=0.97, 95 % CI 0.47-1.99, p =0.93), postoperative mortality (RR = 0.83, 95 % CI 0.43-1.58, p =0.57), blood loss (mean difference (MD)=39.68; 95 % CI −6.97, 86.33; p =0.10) and operative time (MD=18.05; 95 % CI −3.22, 39.33; p =0.10). However, the results also illustrated that the CS methods with cervical anastomosis might be less time-consuming and have shorter hospital stay and higher costs. Based upon this meta-analysis, there were no differences in the postoperative outcomes between HS and CS techniques. And the ideal technique of cervical esophagogastric anastomosis following esophagectomy remains under controversy.

show abstract

Section: The Results Of Meta-analysismentioning

confidence: 99%

Section: Selected Studiesmentioning

confidence: 99%

Section: Baseline Characteristics and Risk Of Bias Of Included Studiesmentioning

confidence: 99%

Section: Outcomes On the Securitymentioning

confidence: 99%

Section: Outcomes On the Securitymentioning

confidence: 99%

See 3 more Smart Citations

Hand-Sewn Versus Stapled Esophagogastric Anastomosis in the Neck: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Wang

Shi

et al. 2013

Indian J Surg

View full text Add to dashboard Cite

show abstract

Anastomotic techniques for oesophagectomy for malignancy: systematic review and network meta-analysis

et al. 2020

View full text Add to dashboard Cite

Background: Current evidence on the benefits of different anastomotic techniques (hand-sewn (HS), circular stapled (CS), triangulating stapled (TS) or linear stapled/semimechanical (LSSM) techniques) after oesophagectomy is conflicting. The aim of this study was to evaluate the evidence for the techniques for oesophagogastric anastomosis and their impact on perioperative outcomes. Methods: This was a systematic review and network meta-analysis. PubMed, EMBASE and Cochrane Library databases were searched systematically for randomized and non-randomized studies reporting techniques for the oesophagogastric anastomosis. Network meta-analysis of postoperative anastomotic leaks and strictures was performed. Results: Of 4192 articles screened, 15 randomized and 22 non-randomized studies comprising 8618 patients were included. LSSM (odds ratio (OR) 0⋅50, 95 per cent c.i. 0⋅33 to 0⋅74; P = 0⋅001) and CS (OR 0⋅68, 0⋅48 to 0⋅95; P = 0⋅027) anastomoses were associated with lower anastomotic leak rates than HS anastomoses. LSSM anastomoses were associated with lower stricture rates than HS anastomoses (OR 0⋅32, 0⋅19 to 0⋅54; P < 0⋅001). Conclusion: LSSM anastomoses after oesophagectomy are superior with regard to anastomotic leak and stricture rates.

show abstract

Reconstruction of the jejunoesophageal anastomosis with a circular mechanical stapler in total laryngopharyngectomy defects

Schneider

Gross²,

Sheppard

et al. 2011

Head & Neck

View full text Add to dashboard Cite

show abstract

Comparison of manual and mechanical cervical esophagogastric anastomosis after esophageal resection for squamous cell carcinoma: a prospective randomized controlled trial

Cited by 98 publications

References 12 publications

Hand-Sewn Versus Stapled Esophagogastric Anastomosis in the Neck: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Hand-Sewn Versus Stapled Esophagogastric Anastomosis in the Neck: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Anastomotic techniques for oesophagectomy for malignancy: systematic review and network meta-analysis

Reconstruction of the jejunoesophageal anastomosis with a circular mechanical stapler in total laryngopharyngectomy defects

Contact Info

Product

Resources

About