2014
DOI: 10.1590/s0102-67202014000300014
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Abstract: IntroductionPostoperative anastomotic leak and stricture are dramatic events that cause increased morbidity and mortality, for this reason it's important to evaluate which is the best way to perform the anastomosis.AimTo compare the techniques of manual (hand-sewn) and mechanic (stapler) esophagogastric anastomosis after resection of malignant neoplasm of esophagus, as the occurrence of anastomotic leak, anastomotic stricture, blood loss, cardiac and pulmonary complications, mortality and surgical time.Methods… Show more

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Cited by 18 publications
(9 citation statements)
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References 19 publications
(13 reference statements)
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“…In contrast, the minimally invasive hand-sewn anastomosis takes the form of an adaptation of thoracotomic handsewn anastomosis, which is preferred by many surgeons as it seems to be associated with the lowest rate of anastomotic leaks [20]. For this reason, the hand-sewn anastomosis was translated in minimally invasive field.…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, the minimally invasive hand-sewn anastomosis takes the form of an adaptation of thoracotomic handsewn anastomosis, which is preferred by many surgeons as it seems to be associated with the lowest rate of anastomotic leaks [20]. For this reason, the hand-sewn anastomosis was translated in minimally invasive field.…”
Section: Discussionmentioning
confidence: 99%
“…Circular staplers are reported to have higher stricture rates when compared with linear stapling. 24,25 However, even well-perfused, well-constructed anastomoses without any tension along the anastomotic line can develop an AL or AS. Despite the belief of surgeons in their own surgical techniques and predictive capabilities, clinical studies demonstrate that surgeons cannot predict with absolute accuracy which anastomoses will develop leak or stricture and which will not.…”
Section: Discussionmentioning
confidence: 99%
“…Level 1a evidence indicates that stapling and hand-sewn anastomoses give equal results with regard to clinical anastomotic leakage, although hand-sewn anastomoses tend towards longer operation times [81][82][83][84][85][86][87][88][89][90][91]. For compression anastomoses there is a variety of devices and methods.…”
Section: Suture Techniquesmentioning
confidence: 99%