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Esophagojejunostomy after total gastrectomy: A systematic review and meta-analysis comparing hand-sewn and stapled
Fernanda Cavalcanti Cabral Honório1, Francisco Tustumi1,2, João Emílio Lemos Pinheiro Filho1
1Department of Surgery, Hospital Estadual Mario Covas, Santo André, Sao Paulo, Brazil.
Abstract:
This review aims to evaluate the surgical outcomes of hand-sewn esophageal anastomosis compared to mechanical anastomosis to reconstruct total gastrectomy. A systematic review and meta-analysis of comparative studies evaluating hand-sewn and stapled anastomosis were performed. A total of 12 studies were selected, comprising 1761 individuals. The results indicate that the hand-sewn and stapled esophageal anastomosis have similar surgical outcomes. Stapled anastomosis has a shorter operation time.
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