Retrospective Analysis of Hand-sewn versus Stapled Esophagojejunostomy after Total Gastrectomy: A single Center Experience | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 17, Issue 2, April 2024, Page 133-140 PDF (353.38 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2024.351436 | ||||
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| Authors | ||||
| Ahmed Adel Shoka; Wadie Boshra Gerges; Fady Makram Benjamin | ||||
| Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt | ||||
| Abstract | ||||
| Introduction: Stapled esophagojejunostomy is commonly used nowadays as it is time saving technique with accepted results in comparison with hand sewn anastomosis. This retrospective study aims to compare between the two techniques as regarding short term surgical outcome in two groups of patients during open total gastrectomy with roux en y esophagojejunostomy for gastric carcinoma. Patients and methods: The study included 29 adult patients with gastric cancer who underwent TG with roux en-Y esophagojejunostomy in the Department of upper GIT surgery in Ain shams university hospitals between February 2019 and October 2023. The patients were divided into 2 groups ac-cording to the technique of EJA: handsewn (13 cases) or stapled (16 cases). We compared the two groups in terms of the operative time, occurrence of complications (focusing on bleeding, anastomotic leakage, stricture and abdominal abscess) and length of hospital stay. Results: There were no significant differences in duration of the surgery (P=0.13), blood loss (P=0.29), or length of postoperative hospital stay (P=0.9) among the groups. The most serious complication was anastomotic leakage, with 3 cases in both groups, 2 of them were suffering only radiological leakage (P=0.51). During the follow up period the anastomotic stricture occurred in in 1 (7.7%) cases with hand-sewn anastomosis (P=0.67) and 2 (12.5%) cases with stapled anastomosis. Conclusions: In our study there were no significant differences in the short and midterm surgical outcome between hand-sewn and stapled esophago-jejunal anastomosis in total gastrectomy. | ||||
| Keywords | ||||
| Anastmosis; leakage; stricture; bleeding | ||||
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