Methods of Esophagogastric Anastomoses Following Esophagectomy for Cancer: A Systematic Review

被引：98
作者：
Kim, Roger H. [1 ]
Takabe, Kazuaki [2 ]
机构：
[1] Louisiana State Univ, Hlth Sci Ctr Shreveport, Dept Surg, Div Surg Oncol,Feist Weiller Canc Ctr, Shreveport, LA 71130 USA
[2] Virginia Commonwealth Univ, Sch Med, VCU Massey Canc Ctr, Dept Surg,Div Surg Oncol, Richmond, VA USA
来源：
JOURNAL OF SURGICAL ONCOLOGY | 2010年 / 101卷 / 06期
关键词：
systematic review; esophageal cancer; anastomosis; surgical technique; HAND-SEWN; TRANSHIATAL ESOPHAGECTOMY; RISK-FACTORS; MULTIDISCIPLINARY APPROACH; INTRATHORACIC ANASTOMOSIS; RESECTION; CARCINOMA; LEAKS; EXPERIENCE; ESOPHAGUS;
D O I：
10.1002/jso.21510
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
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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收藏
页码：527 / 533
页数：7
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