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Methods of esophagogastric anastomoses following esophagectomy for cancer: A systematic review
Author(s) -
Kim Roger H.,
Takabe Kazuaki
Publication year - 2010
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.21510
Subject(s) - medicine , esophagectomy , anastomosis , esophageal cancer , leak , surgery , mortality rate , cancer , meta analysis , randomized controlled trial , systematic review , general surgery , medline , environmental engineering , engineering , political science , law
Anastomotic complications are responsible for significant morbidity and mortality following esophagectomy for cancer. Conflicting reports exist regarding the superiority of hand‐sewn versus stapled techniques. This systematic review identified eight randomized clinical trials examining this issue. None of the studies reported significant differences in leak rate or early mortality. One study demonstrated a difference in stricture rates, with fewer for hand‐sewn anastomoses. There is insufficient evidence to recommend one anastomotic technique over the other. J. Surg. Oncol. 2010; 101:527–533. © 2010 Wiley‐Liss, Inc.