2022
DOI: 10.1097/sle.0000000000001050
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Transthoracic Esophagectomy: Hand-sewn Versus Side-to-side Linear-stapled Versus Circular-stapled Anastomosis: A Systematic Review and Meta-analysis

Abstract: Background: Three anastomotic techniques are mostly used to create an esophagogastric anastomosis in a transthoracic esophagectomy: hand-sewn (HS), side-to-side linear-stapled (SSLS), and circular-stapled (CS). The aim of this study was to compare surgical outcomes after HS, SSLS, and CS intrathoracic esophagogastric anastomosis. Materials and Methods: A systematic review using the MEDLINE database was performed to identify original articles analyzing outcomes after HS, SSLS, and CS esophagogastric anastomos… Show more

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Cited by 5 publications
(3 citation statements)
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“…Different techniques have been described for esophagogastric anastomosis such as hand-sewn and mechanical stapled anastomosis [8,9]. Over the past few decades, surgeons have been improving anastomotic techniques with a gradual shift from hand-sewn to stapled anastomosis [10][11][12][13].…”
Section: Introductionmentioning
confidence: 99%
“…Different techniques have been described for esophagogastric anastomosis such as hand-sewn and mechanical stapled anastomosis [8,9]. Over the past few decades, surgeons have been improving anastomotic techniques with a gradual shift from hand-sewn to stapled anastomosis [10][11][12][13].…”
Section: Introductionmentioning
confidence: 99%
“…Anastomotic leakage is a common complication after esophagectomy. The reported incidence of leakage, which can cause postoperative mortality and longer hospital stay lengths, is as high as 31% 1–4 . Therefore, methods to reduce the incidence of this complication are urgently needed to improve the quality of life of patients and reduce postoperative mortality.…”
Section: Introductionmentioning
confidence: 99%
“…The reported incidence of leakage, which can cause postoperative mortality and longer hospital stay lengths, is as high as 31%. 1 , 2 , 3 , 4 Therefore, methods to reduce the incidence of this complication are urgently needed to improve the quality of life of patients and reduce postoperative mortality. One of the major causes of anastomotic leakage is thought to be reduced blood flow in the gastric conduit.…”
Section: Introductionmentioning
confidence: 99%