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Research article
Yu-Cheng Zhou
Corresponding Author
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Background: We examine the perioperative complications of hand-sewn esophagojejunostomy (EJ) methods used for totally laparoscopic total gastrectomy (TLTG) for the treatment of gastric cancer.
Methods: We reviewed PUBMED, EMBASE and the Cochrane Central Register for studies published from May 1998 to May 2018 to evaluate the perioperative complications of hand-sewn esophagojejunostomy applied for TLTG. Five studies were found to meet the inclusion criteria for our meta-analysis. After data extraction and quality assessment, we used Stata 12 to pool the data.
Results: Five studies involving 234 patients were considered in our meta-analysis. The pooled data show an anastomotic leakage value of 1% (95% CI 0 to 4%) ，an anastomotic stricture value of 1% (95% CI 0 to 3%)，a conversion value of 0 and a postoperative bleeding value of 2% (95% CI 0 to 6%). Conclusions: TLTG involving intracorporeal hand-sewn end-to-side esophagojejunostomy serves as a safe approach to the treatment of gastric cancer. As this method is adopted by professionals, intracorporeally handsewn EJ could become an accepted means of executing widely used laparoscopic procedures of EJ.
Keywords
Totally laparoscopic total gastrectomy, Esophagojejunostomy, Hand-sewn
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
Yu-Cheng Zhou
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 23 Oct, 2019
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Surgery
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: We examine the perioperative complications of hand-sewn esophagojejunostomy (EJ) methods used for totally laparoscopic total gastrectomy (TLTG) for the treatment of gastric cancer.
Methods: We reviewed PUBMED, EMBASE and the Cochrane Central Register for studies published from May 1998 to May 2018 to evaluate the perioperative complications of hand-sewn esophagojejunostomy applied for TLTG. Five studies were found to meet the inclusion criteria for our meta-analysis. After data extraction and quality assessment, we used Stata 12 to pool the data.
Results: Five studies involving 234 patients were considered in our meta-analysis. The pooled data show an anastomotic leakage value of 1% (95% CI 0 to 4%) ，an anastomotic stricture value of 1% (95% CI 0 to 3%)，a conversion value of 0 and a postoperative bleeding value of 2% (95% CI 0 to 6%). Conclusions: TLTG involving intracorporeal hand-sewn end-to-side esophagojejunostomy serves as a safe approach to the treatment of gastric cancer. As this method is adopted by professionals, intracorporeally handsewn EJ could become an accepted means of executing widely used laparoscopic procedures of EJ.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
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