2019
DOI: 10.1093/dote/doz072
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Abstract: SUMMARY Centralization of care has improved outcomes in esophagogastric (EG) cancer surgery. However, specialist surgical centers often work within clinical silos, with little transfer of knowledge and experience. Although variation exists in multiple dimensions of perioperative care, the differences in operative technique are rarely studied. An esophageal anastomosis workshop was held to identify areas of common and differing practice within the operative technique. Surgeons showed videos of th… Show more

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Cited by 9 publications
(6 citation statements)
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“…Gastric cancer is a malignant tumor originating from the gastric mucosal epithelium with hidden symptoms in the early stages. Most cases are at the advanced stages of disease at the time of diagnosis, during which surgery and chemotherapy are the main treatment methods [15]. As advanced-stage malignant tumors are serious stressors [16], invasive treatment methods such as surgery may result in negative emotions in patients such as anxiety, depression, and fear [17], seriously compromising the treatment effect and quality of life of patients.…”
Section: Discussionmentioning
confidence: 99%
“…Gastric cancer is a malignant tumor originating from the gastric mucosal epithelium with hidden symptoms in the early stages. Most cases are at the advanced stages of disease at the time of diagnosis, during which surgery and chemotherapy are the main treatment methods [15]. As advanced-stage malignant tumors are serious stressors [16], invasive treatment methods such as surgery may result in negative emotions in patients such as anxiety, depression, and fear [17], seriously compromising the treatment effect and quality of life of patients.…”
Section: Discussionmentioning
confidence: 99%
“…PAL is regarded as one of the most serious complications and is consistently associated with high postoperative mortality rates, reaching as high as 60% in some studies (20,21). PAL can be regarded as one of the key indicators of surgical quality, since it is related to the level of expertise of the surgeon (22). PAL has also had a signi cant impact on several other postoperative outcomes (23).…”
Section: Discussionmentioning
confidence: 99%
“…In humans the basic principles of anastomosis formation centre around adequate blood supply, join line tension and inverted submucosal suturing [37]. However there is widespread variation in technique, [38,39] definition, measurement [40] and reporting outcomes [41,42] with comparable results in both stapled and hand sewn anastomoses [43]. This is likely to have confounded previous investigation of prophylactic interventions and has limited the comparison of outcomes between trials.…”
Section: Discussionmentioning
confidence: 99%