Systematic review of anastomotic complications of esophagojejunostomy after laparoscopic total gastrectomy

World Journal of Gastroenterology : WJG
Mikito InokuchiKazuyuki Kojima

Abstract

To investigate the anastomotic complications of esophagojejunostomy (EJS) after laparoscopic total gastrectomy (LTG), we reviewed retrospective studies. A literature search was conducted in PubMed for studies published from January 1, 1994 through January 31, 2015. The search terms included "laparoscopic," "total gastrectomy," and "gastric cancer." First, we selected 16 non-randomized controlled trials (RCTs) comparing LTG with open total gastrectomy (OTG) and conducted an updated meta-analysis of anastomotic complications after total gastrectomy. The Newcastle-Ottawa scoring system (NOS) was used to assess the quality of the non-RCTs included in this study. Next, we reviewed anastomotic complications in 46 case studies of LTG to compare the various procedures for EJS. The overall incidence of anastomotic leakage associated with EJS was 3.0% (30 of 984 patients) among LTG procedures and 2.1% (31 of 1500 patients) among OTG procedures in the 16 non-RCTs. The incidence of anastomotic leakage did not differ significantly between LTG and OTG (odds OR = 1.42, 95%CI: 0.86-2.33, P = 0.17, I(2) = 0%). Anastomotic stenosis related to EJS was reported in 72 (2.9%) of 2484 patients, and the incidence was 3.2% among LTG procedures and 2.7%...Continue Reading

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Citations

Jun 21, 2017·Insights Into Imaging·Massimo Tonolini, Elena Bracchi
Jan 11, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Pablo PriegoEduardo Lobo
May 18, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Daniela TreitlKfir Ben-David
Jan 23, 2020·World Journal of Gastrointestinal Oncology·Jian ShenJian-Ping Zhang
Jun 12, 2020·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Cheong Il Shin, Se Hyung Kim
Jan 24, 2019·World Journal of Gastroenterology : WJG·Zhi-Fang ZhengChang-Ming Huang
Dec 25, 2019·Gastroenterology Research and Practice·Yonghua BiJianzhuang Ren
Sep 30, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Mingguang WeiXianli He
Jan 31, 2019·Annals of Gastroenterological Surgery·Yoshihiko KawaguchiDaisuke Ichikawa
Nov 28, 2020·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Kaja LudwigUwe Scharlau
Sep 4, 2019·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Youjin OhSungsoo Park
Feb 7, 2021·Langenbeck's Archives of Surgery·Takayoshi KishinoYasuyuki Suzuki
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