Experience and technique of stapled mechanical cervical esophagogastric anastomosis

Singh, Deepak; Maley, Richard H.; Santucci, Tibetha; Macherey, Robin S.; Bartley, Susan; Weyant, Robert J.; Landreneau, Rodney J.

doi:10.1016/s0003-4975(00)02337-7

Cited by 64 publications

(42 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Higher stricture rate for hand-sewn (88% vs. 63%, P < 0.0001) Furukawa et al [32] Retrospective series 31 No difference in leak rate with circular stapled or hand-sewn. Lower leak rate for triangular stapled technique Casson et al [29] Non-randomized, prospective series 91 No difference in leak rate (7.9% stapled vs. 22.6% hand-sewn, P ¼ 0.08) Urschel et al [8] Meta-analysis 5 RCTs No difference in leak rate or stricture rate Singh et al [38] Retrospective series 93 Lower leak rate for stapled (3% vs. 23%, P < 0.05). Higher stricture rate for hand-sewn (58% vs. 18%, P < 0.05) Honkoop et al [33] Retrospective series 269 Higher stricture rate for stapled (48% vs. 35%, P ¼ 0.04) Fok et al [31] Non-randomized, prospective series 785 No difference in leak rate Lam et al [35] Non-randomized, prospective series 411 No difference in leak rate Fok et al [30] Non-randomized, prospective series 483 No difference in leak rate.…”

Section: Journal Of Surgical Oncologymentioning

confidence: 99%

“…The majority of reports on this topic are retrospective series that have provided mixed results. Several reports of decreased leak rates with stapled anastomoses have been published [28,32,34,[36][37][38]48]. Other studies have not demonstrated a difference in leak rates between hand-sewn and stapled anastomoses [13,27,[29][30][31]35,[39][40][41].…”

Section: Journal Of Surgical Oncologymentioning

confidence: 99%

See 1 more Smart Citation

Methods of esophagogastric anastomoses following esophagectomy for cancer: A systematic review

Kim

Takabe

2010

Journal of Surgical Oncology

114

View full text Add to dashboard Cite

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.

show abstract

Section: Journal Of Surgical Oncologymentioning

confidence: 99%

Section: Journal Of Surgical Oncologymentioning

confidence: 99%

Methods of esophagogastric anastomoses following esophagectomy for cancer: A systematic review

Kim

Takabe

2010

Journal of Surgical Oncology

114

View full text Add to dashboard Cite

show abstract

“…The incidence is between 5% and 20% and the subsequent mortality rates range from 12% to 50% [1][2][3][4]. Many surgeons apply for a routine radiological contrast examination to detect anastomotic leakage early in the postoperative period.…”

Section: Introductionmentioning

confidence: 99%

Routine or on demand radiological contrast examination in the diagnosis of anastomotic leakage after esophagectomy

Honing

Pultrum

Jagt

et al. 2009

Journal of Surgical Oncology

View full text Add to dashboard Cite

show abstract

“…Anastomotic complications can lead to leak, bleeding, or ischemia, among other complications [2][3][4][5] , with leak being one of the most serious complication.…”

Section: Discussionmentioning

confidence: 99%

Profiling Surgical Staplers: Does Staple Direction Affect the Strength of the Anastomosis?

Kimura

Takahashi²,

Tanaka³

et al. 2015

Dig Surg

View full text Add to dashboard Cite

Background: Few studies have been conducted regarding the optimal staple direction in gastrointestinal anastomosis. The purpose of this study was to evaluate the burst pressure of the anastomosis depending on the firing direction of the stapler. Methods: Pig esophagus and small bowel were used for all experiments. The small intestine represented a thin intestinal tract and the esophagus represented a thick intestinal tract. A side-to-side anastomosis was performed using a linear stapler, and the burst pressure was measured. A leak test on the anastomosis was then performed and burst pressures measured. Results: Burst pressures after anastomosis using a GIA™ 100-3.8 were 47.4 ± 10.4 mm Hg. With the same GIA, the burst pressure was significantly greater when the staples were driven from the small intestine into the esophagus (83.3 ± 17.3 mm Hg). Using the GIA™ 100-4.8, it was found that the burst pressure was significantly greater when the staplers were driven into the small intestine versus the esophagus (51.6 ± 7.1 vs. 68.6 ± 16.1 mm Hg). There was no significant difference between the different GIAs when fired in the same direction. Conclusion: Burst pressures were significantly greater when the staplers were driven from the small intestine into the esophagus. The direction of the staple line influences the strength of the anastomosis.

show abstract

Experience and technique of stapled mechanical cervical esophagogastric anastomosis

Cited by 64 publications

References 9 publications

Methods of esophagogastric anastomoses following esophagectomy for cancer: A systematic review

Methods of esophagogastric anastomoses following esophagectomy for cancer: A systematic review

Routine or on demand radiological contrast examination in the diagnosis of anastomotic leakage after esophagectomy

Profiling Surgical Staplers: Does Staple Direction Affect the Strength of the Anastomosis?

Contact Info

Product

Resources

About