Journal
JOURNAL OF SURGICAL ONCOLOGY
Volume 101, Issue 6, Pages 527-533Publisher
WILEY
DOI: 10.1002/jso.21510
Keywords
systematic review; esophageal cancer; anastomosis; surgical technique
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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. (C) 2010 Wiley-Liss, Inc.
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