Estudo comparativo entre as anastomoses cervicais esofagogástrica término-terminal com e sem invaginação após esofagectomia para câncer

Henriques, Alexandre Cruz; Zanon, Aline Biral; Godinho, Carlos Alberto; Martins, Lourdes Conceição; Saad, Roberto; Speranzini, Manlio Basílio; Waisberg, Jaques

doi:10.1590/s0100-69912009000500007

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…Multiple attempt techniques are listed in domestic and foreign literature, with no solution of the matter, since when they reduce the rate of fistulas they do not handle stenosis or vice versa 1,2,[5][6][7][8] . The laparoscopic approach did not alter the rate of fistulas when compared with open access 9 .…”

Section: Technique Technique Technique Technique Techniquementioning

confidence: 99%

Anastomose mecânica esofagogástrica cervical látero-lateral após esofagectomias

Neto

Morais²,

Nepomuceno³

et al. 2013

Rev. Col. Bras. Cir.

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Section: Technique Technique Technique Technique Techniquementioning

confidence: 99%

Anastomose mecânica esofagogástrica cervical látero-lateral após esofagectomias

Neto

Morais²,

Nepomuceno³

et al. 2013

Rev. Col. Bras. Cir.

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“…Anastomotic stricture occurs in 5 to 46% of operated cases and can manifest up to a year after surgery. 8 …”

Section: Introductionmentioning

confidence: 99%

Hand-sewn versus stapler esophagogastric anastomosis after esophageal ressection: sistematic review and meta-analysis

Castro¹,

Ribeiro²,

Rocha³

et al. 2014

ABCD, arq. bras. cir. dig.

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IntroductionPostoperative anastomotic leak and stricture are dramatic events that cause increased morbidity and mortality, for this reason it's important to evaluate which is the best way to perform the anastomosis.AimTo compare the techniques of manual (hand-sewn) and mechanic (stapler) esophagogastric anastomosis after resection of malignant neoplasm of esophagus, as the occurrence of anastomotic leak, anastomotic stricture, blood loss, cardiac and pulmonary complications, mortality and surgical time.MethodsA systematic review of randomized clinical trials, which included studies from four databases (Medline, Embase, Cochrane and Lilacs) using the combination of descriptors (anastomosis, surgical) and (esophagectomy) was performed.ResultsThirteen randomized trials were included, totaling 1778 patients, 889 in the hand-sewn group and 889 in the stapler group. The stapler reduced bleeding (p <0.03) and operating time (p<0.00001) when compared to hand-sewn after esophageal resection. However, stapler increased the risk of anastomotic stricture (NNH=33), pulmonary complications (NNH=12) and mortality (NNH=33). There was no significant difference in relation to anastomotic leak (p=0.76) and cardiac complications (p=0.96).ConclusionAfter resection of esophageal cancer, the use of stapler shown to reduce blood loss and surgical time, but increased the incidence of anastomotic stricture, pulmonary complications and mortality.

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Esofagectomia trans-hiatal com esternotomia parcial

et al. 2012

Rev. Col. Bras. Cir.

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Transhiatal Esophagectomy offers the advantage of not requiring thoracotomy or thoracoscopy. Nevertheless, it has the disadvantage of having to be performed, at least in part, with blind, blunt dissection, with high frequency of pleural lesions, increased bleeding, among other complications. The association of median diaphragm transection with partial sternotomy allows the isolation of the esophagus completely under direct vision. The authors present the technique of transhiatal esophagectomy with partial sternotomy.

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Estudo comparativo entre as anastomoses cervicais esofagogástrica término-terminal com e sem invaginação após esofagectomia para câncer

Cited by 3 publications

References 32 publications

Anastomose mecânica esofagogástrica cervical látero-lateral após esofagectomias

Anastomose mecânica esofagogástrica cervical látero-lateral após esofagectomias

Hand-sewn versus stapler esophagogastric anastomosis after esophageal ressection: sistematic review and meta-analysis

Esofagectomia trans-hiatal com esternotomia parcial

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