Systematic review of anastomotic complications of esophagojejunostomy after laparoscopic total gastrectomy

Inokuchi, Mikito; Otsuki, Sho; Fujimori, Yoshitaka; Sato, Yuya; Nakagawa, Masatoshi; Kojima, Kazuyuki

doi:10.3748/wjg.v21.i32.9656

Cited by 113 publications

(81 citation statements)

References 75 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…With regards to total gastrectomy, incidence of leakage ranges between 0 and 17% [14][15][16]. Increased leakage-related mortality was described as 19-64%, with higher mortality after surgical compared to conservative/endoscopic treatment [17,18].…”

Section: Introductionmentioning

confidence: 99%

Anastomotic Leakage after Upper Gastrointestinal Surgery: Surgical Treatment

Hummel

Bausch

2017

Visc Med

View full text Add to dashboard Cite

Background: Anastomotic leakage after upper gastrointestinal surgery is associated with major morbidity and mortality. In recent years, there was a major paradigm shift in the management of leakage after upper gastrointestinal surgery from surgical towards conservative and endoscopic treatment approaches as first-line treatment options. Methods: We conducted a PubMed literature search using combinations of the keywords ‘leakage', ‘complication', ‘esophagectomy', ‘gastrectomy', and ‘pancreatectomy' to identify relevant publications. Results: Surgical re-intervention after esophagectomy, gastrectomy, or pancreatectomy is still indicated in selected patients, depending on the severity of symptoms, the condition of the patient, and failure of initiated treatment. Furthermore, surgical revision after esophagectomy and gastrectomy is indicated for early leakage and depends on the extent of anastomotic disruption and the condition of tissue. Conclusion: Surgical re-intervention still plays a crucial role in the management of leakage after upper gastrointestinal surgery, especially in critically ill patients and after failure of conservative or endoscopic treatment.

show abstract

Section: Introductionmentioning

confidence: 99%

Anastomotic Leakage after Upper Gastrointestinal Surgery: Surgical Treatment

Hummel

Bausch

2017

Visc Med

View full text Add to dashboard Cite

show abstract

“…4 -6 In addition, a meta-analysis looking specifically at complications found no significant differences in anastomotic leakage and stenosis in laparoscopic vs open gastrectomies. 7 Despite the slow adoption of minimally invasive total gastrectomy in the USA, we demonstrated that laparoscopic total gastrectomy has good oncological outcomes in a case series of 12 patients. 8 Several other series of single institution experiences have been reported from Asia and Western Europe.…”

Section: Introductionmentioning

confidence: 80%

Laparoscopic Total Gastrectomy with D2 Lymphadenectomy and Side-to-Side Stapled Esophagojejunostomy

Treitl

Hochwald

Bao

et al. 2016

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

show abstract

“…Even if compared with the trans orally inserted anvil approach for EJA (OrVil) [8,9], our technique seems to be equally easy to be reproduced and safe, with a lower risk of intrathoracic infection [10]. Anastomosis performed with ‘OrVil' technique are also more likely to develop stenosis, and the reported overall complication rate (including non-anastomotic complications) is still high [11].…”

Section: Discussionmentioning

confidence: 99%

Safety and Efficacy of a Novel Double-Stapling Technique for Distal Esophageal Resection and Esophago-Jejunal Anastomosis

Gentilli

Franchello²,

Portigliotti³

et al. 2016

Dig Surg

View full text Add to dashboard Cite

Background: The purpose of this study was to evaluate safety and efficacy of a new esophagojejunal anastomosis (EJA) technique allowing the insertion of the anvil of a common circular stapler without hand-sewn securing. Methods: From August 2014 to May 2015, 20 consecutive patients with esophagogastric junction adenocarcinoma underwent surgery. EJA was performed using a new technique; the free margins of the esophageal stump were suspended and the anvil of a circular stapler on a new dedicated and registered support bar (characterized by a push-rod making possible to hook-unhook the anvil of the circular stapler) was inserted into the lumen. Subsequently, the linear suturing stapler was closed over the bar and fired to suture the distal stump of the esophagus; the bar was retracted and the push-rod of the anvil was pulled out through the linear suture. Finally, the anastomosis was performed using a circular stapler. Results: There were no intraoperative complications, and R0 resection was achieved in all cases. Postoperative course has been uneventful for 18 patients (90%). Only 1 patient (5%) developed fistula, conservatively treated. Conclusions: Our preliminary clinical experience suggested that this technique was safe and efficient (for all online suppl. material, see www.karger.com/doi/10.1159/000446856).

show abstract

Systematic review of anastomotic complications of esophagojejunostomy after laparoscopic total gastrectomy

Abstract: The incidence of anastomotic complications associated with EJS was not different between LTG and OTG. Anastomotic stenosis was relatively common when the OrVil™ device was used.

Cited by 113 publications

References 75 publications

Anastomotic Leakage after Upper Gastrointestinal Surgery: Surgical Treatment

Anastomotic Leakage after Upper Gastrointestinal Surgery: Surgical Treatment

Laparoscopic Total Gastrectomy with D2 Lymphadenectomy and Side-to-Side Stapled Esophagojejunostomy

Safety and Efficacy of a Novel Double-Stapling Technique for Distal Esophageal Resection and Esophago-Jejunal Anastomosis

Contact Info

Product

Resources

About