Triple-stapled quadrilateral anastomosis: a new technique for creation of an esophagogastric anastomosis

Ishibashi, Yuji; Fukunaga, Tetsu; Mikami, Shinya; Oka, Shinichi; Kanda, Seiichi; Yube, Yukinori; Kohira, Yoshinori; Enomoto, Takeharu; Otsubo, Takehito

doi:10.1007/s10388-017-0599-z

Cited by 19 publications

(16 citation statements)

References 26 publications

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“…Anastomotic fistula is related to the embedding material, and Neoveil ® has been shown to be superior to the omentum majus in preventing anastomotic fistula. Pedicled omentum majus is an excellent embedding material, is derived from the patient, and has no possibility of rejection (40,41). However, the omentum majus is prone to fat liquification, and it is difficult for the incision to heal in the liquid, which also increases the risk of anastomotic infection and fistula (42).…”

Section: Discussionmentioning

confidence: 99%

A new technology for reducing anastomotic fistula in the neck after esophageal cancer surgery

Song

Zhang

et al. 2019

J. Thorac. Dis

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Section: Discussionmentioning

confidence: 99%

A new technology for reducing anastomotic fistula in the neck after esophageal cancer surgery

Song

Zhang

et al. 2019

J. Thorac. Dis

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“…Anastomotic stenosis occurred to a signi cantly lower extent in the modi ed Collard group, and the period between esophagectomy and initial dilatation was signi cantly shorter in the hand-sewn anastomosis group (24). Similarly, Ishibashi et al performed triple-stapled quadrilateral anastomosis to create esophagogastric anastomosis and reported no signi cant anastomotic leakage and stricture (25).…”

Section: Sugimura Et Al Used a Modi Ed Collard Technique And A Lineamentioning

confidence: 98%

Comparison of End-to-Side Hand-Sewn and Side-to-Side Stapled Cervical Esophagogastric Anastomosis in Patients with Lower Thoracic Esophageal Cancer Undergoing Transhiatal Esophagectomy: An Iranian Retrospective Cohort Study

Rasihashemi

Ramouz

Beheshtirouy

et al. 2020

Preprint

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Background: Controversies in terms of efficacy and postoperative advantages surround stapled esophagogastric anastomosis compared with the hand-sewn technique as a treatment for patients with esophageal cancer. The purpose of this study was to compare the clinical outcomes of hand-sewn end-to-side esophago-gastrostomy and side-to-side stapled cervical esophagogastric anastomosis after esophagectomy for the aforementioned patients. Methods: This retrospective cohort study involved examining the medical records of 433 patients who underwent transhiatal esophagectomy for esophageal cancer from March 2010 to March 2016. All the patients were operated using end-to-side hand-sewn esophago-gastrostomy and side-to-side stapled cervical esophagogastric anastomosis. 409 of the patients received a year’s worth of follow-up evaluations. All the cases were revisited in two weeks as well as in four, eight, and 12 months after surgery. The patients were assessed in terms of postoperative outcomes, including reflux symptoms, anastomotic leakage and stricture, and the need for anastomotic dilatation. Results: Hand-sewn anastomosis was carried out in 271 (62.5%) patients, whereas stapled anastomosis was performed in 162 (37.4%) patients. The mean operative times were 214.46±84.33 min and 250.55±43.31 min for the stapled and hand-sewn anastomosis groups, respectively (P = 0.028). The two groups showed no significant differences with respect to stays in intensive care units and hospitals. Postoperatively, 38 (14.67%) cases of anastomotic leakage were detected in the hand-sewn anastomosis group, with incidence being significantly higher than that in the stapled anastomosis group (8 cases or 5.33%; P = 0.002). Anastomotic stricture occurred less frequently in the patients who underwent stapled anastomosis (P = 0.004). Within the one-year follow-up period, the patients treated via hand-sewn anastomosis more frequently required anastomotic dilatation (P = 0.02). Conclusion: Side-to-side stapled cervical esophagogastric anastomosis may reduce operation times and decrease the rates of anastomotic leakage, anastomotic stricture, and anastomotic dilatation in patients with lower thoracic esophageal cancer undergoing transhiatal esophagectomy.

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“…Anastomotic stenosis occurred to a signi cantly lower extent in the modi ed Collard group, and the period between esophagectomy and initial dilatation was signi cantly shorter in the hand-sewn anastomosis group (26). Similarly, Ishibashi et al performed triple-stapled quadrilateral anastomosis to create esophagogastric anastomosis and reported no signi cant anastomotic leakage and stricture (27).…”

Section: Sugimura Et Al Used a Modi Edmentioning

confidence: 98%

Comparison of End-to-Side Hand-Sewn and Side-to-Side Stapled Cervical Esophagogastric Anastomosis in Patients with Lower Thoracic Esophageal Cancer Undergoing Transhiatal Esophagectomy: An Iranian Retrospective Cohort Study

Rasihashemi

Ramouz

Beheshtirouy

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Controversies in terms of efficacy and postoperative advantages surround stapled esophagogastric anastomosis compared with the hand-sewn technique as a treatment for patients with esophageal cancer. The purpose of this study was to compare the clinical outcomes of hand-sewn end-to-side esophago-gastrostomy and side-to-side stapled cervical esophagogastric anastomosis after esophagectomy for the aforementioned patients.Methods: This retrospective cohort study involved examining the medical records of 433 patients who underwent transhiatal esophagectomy for esophageal cancer from March 2010 to March 2016. All the patients were operated using end-to-side hand-sewn esophago-gastrostomy and side-to-side stapled cervical esophagogastric anastomosis. 409 of the patients received a year’s worth of follow-up evaluations. All the cases were revisited in two weeks as well as in four, eight, and 12 months after surgery. The patients were assessed in terms of postoperative outcomes, including reflux symptoms, anastomotic leakage and stricture, and the need for anastomotic dilatation.Results: Hand-sewn anastomosis was carried out in 271 (62.5%) patients, whereas stapled anastomosis was performed in 162 (37.4%) patients. The mean operative times were 214.46±84.33 min and 250.55±43.31 min for the stapled and hand-sewn anastomosis groups, respectively (P = 0.028). The two groups showed no significant differences with respect to stays in intensive care units and hospitals. Postoperatively, 38 (14.67%) cases of anastomotic leakage were detected in the hand-sewn anastomosis group, with incidence being significantly higher than that in the stapled anastomosis group (8 cases or 5.33%; P = 0.002). Anastomotic stricture occurred less frequently in the patients who underwent stapled anastomosis (P = 0.004). Within the one-year follow-up period, the patients treated via hand-sewn anastomosis more frequently required anastomotic dilatation (P = 0.02).Conclusion: Side-to-side stapled cervical esophagogastric anastomosis may reduce operation times and decrease the rates of anastomotic leakage, anastomotic stricture, and anastomotic dilatation in patients with lower thoracic esophageal cancer undergoing transhiatal esophagectomy.

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Triple-stapled quadrilateral anastomosis: a new technique for creation of an esophagogastric anastomosis

Cited by 19 publications

References 26 publications

A new technology for reducing anastomotic fistula in the neck after esophageal cancer surgery

A new technology for reducing anastomotic fistula in the neck after esophageal cancer surgery

Comparison of End-to-Side Hand-Sewn and Side-to-Side Stapled Cervical Esophagogastric Anastomosis in Patients with Lower Thoracic Esophageal Cancer Undergoing Transhiatal Esophagectomy: An Iranian Retrospective Cohort Study

Comparison of End-to-Side Hand-Sewn and Side-to-Side Stapled Cervical Esophagogastric Anastomosis in Patients with Lower Thoracic Esophageal Cancer Undergoing Transhiatal Esophagectomy: An Iranian Retrospective Cohort Study

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