Esophagojejunostomy after total gastrectomy: A systematic review and meta‐analysis comparing hand‐sewn and stapled anastomosis
Fernanda Cavalcanti Cabral Honório, Francisco Tustumi, João Emílio Lemos Pinheiro Filho, Stefanie Sophie Buuck Marques, Felipe Placco Araújo Glina, Alexandre Henriques, André Roncon Dias, Jaques Waisberg
Abstract
This review aims to evaluate the surgical outcomes of hand-sewn esophageal anastomosis compared to mechanical anastomosis to reconstruct total gastrectomy. A systematic review and meta-analysis of comparative studies evaluating hand-sewn and stapled anastomosis were performed. A total of 12 studies were selected, comprising 1761 individuals. The results indicate that the hand-sewn and stapled esophageal anastomosis have similar surgical outcomes. Stapled anastomosis has a shorter operation time.
Topics & Concepts
AnastomosisMedicineMeta-analysisGastrectomySurgeryRoux-en-Y anastomosisGeneral surgerySystematic reviewEsophagusMEDLINEInternal medicineCancerGastric bypassPolitical scienceLawWeight lossObesityGastric Cancer Management and OutcomesEsophageal and GI PathologyEsophageal Cancer Research and Treatment