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World J Gastroenterol. Dec 7, 2014; 20(45): 17218-17226
Published online Dec 7, 2014. doi: 10.3748/wjg.v20.i45.17218
Published online Dec 7, 2014. doi: 10.3748/wjg.v20.i45.17218
Is hand sewing comparable with stapling for anastomotic leakage after esophagectomy? A meta-analysis
Quan-Xing Liu, Jia-Xin Min, Xu-Feng Deng, Ji-Gang Dai, Department of Thoracic Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China
Author contributions: Liu QX and Min JX contributed equally to this study; Min JX and Dai JG contributed substantially to conception and design of the study; Liu QX and Deng XF contributed to analysis and interpretation of all data and drafted the article; and Liu QX critically revised the article for important intellectual content.
Correspondence to: Ji-Gang Dai, MD, PhD, Department of Thoracic Surgery, Xinqiao Hospital, Third Military Medical University, No. 30 Gaotanyan Street, Shapingba District, Chongqing 400037, China. 691057831@qq.com
Telephone: +86-23-68774724 Fax: +86-23-68774724
Received: July 11, 2014
Revised: August 24, 2014
Accepted: September 29, 2014
Published online: December 7, 2014
Revised: August 24, 2014
Accepted: September 29, 2014
Published online: December 7, 2014
Core Tip
Core tip: This was an important meta-analysis comparing the results of hand-sewn and stapling techniques for esophagogastric anastomosis after esophageal cancer resection. We performed some subgroup analyses that suggested some associations with anastomotic leakage: (1) the number of layers sutured (single or double); (2) year of publication (before 2003 vs 2003-2013); and (3) anastomotic sites (intrathoracic or cervical). A better understanding of this may yield a consensus for comparison of anastomotic leakage rate following the two methods of esophagogastric anastomosis after esophagogastrectomy for esophageal cancer.