Authors :
Dr. Muhib Ullah; Dr. Jamshed Alam; Dr. Imran Tahir; Dr. Fahad Mehmood; Iltaf Hussain
Volume/Issue :
Volume 7 - 2022, Issue 9 - September
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3R3Y1Io
DOI :
https://doi.org/10.5281/zenodo.7104779
Abstract :
Introduction: Historically, open
esophagectomy has been the norm. However, minimally
invasive esophagectomy has gained popularity in recent
decades due to its improved disease-specific survival
rate, and post-operative complications. The current
study compares the hand-sewn and staple anastomosis
outcomes in esophagectomy. Method: All patients who
underwent esophagectomy with neck anastomosis
between January 2017 and March 2021 at the surgical
oncology department of Hayatabad Medical Complex,
Peshawar was included in this study. Descriptive
statistics were used to analyze the data summary. The
inferential statistics were performed to compare handsewn and stapled anastomosis outcomes. The p-value
was significant at a 0.05 level. Result: In the current
study, the mean operation time was quite higher on the
staple group (p<0.0001). However, the anastomotic time
was less in the staple group compared to the hand-sewn
group. Moreover, there was a significant difference in
right intercostal drainage tube time across the handsewn and staple groups (p<0.0001). The major
anastomotic leakage was high in the hand-sewn group.
Conclusion: The current study highlighted that stapled
anastomosis should be preferred instead of hand-sewn
anastomosis in esophagectomy. The anastomotic time,
right intercostal tube removal time, and hospital stay
were significantly reduced in the stapled anastomosis
compared to the hand-sewn anastomosis.
Keywords :
esophagectomy, hand-sewn anastomosis, staple anastomosis.
Introduction: Historically, open
esophagectomy has been the norm. However, minimally
invasive esophagectomy has gained popularity in recent
decades due to its improved disease-specific survival
rate, and post-operative complications. The current
study compares the hand-sewn and staple anastomosis
outcomes in esophagectomy. Method: All patients who
underwent esophagectomy with neck anastomosis
between January 2017 and March 2021 at the surgical
oncology department of Hayatabad Medical Complex,
Peshawar was included in this study. Descriptive
statistics were used to analyze the data summary. The
inferential statistics were performed to compare handsewn and stapled anastomosis outcomes. The p-value
was significant at a 0.05 level. Result: In the current
study, the mean operation time was quite higher on the
staple group (p<0.0001). However, the anastomotic time
was less in the staple group compared to the hand-sewn
group. Moreover, there was a significant difference in
right intercostal drainage tube time across the handsewn and staple groups (p<0.0001). The major
anastomotic leakage was high in the hand-sewn group.
Conclusion: The current study highlighted that stapled
anastomosis should be preferred instead of hand-sewn
anastomosis in esophagectomy. The anastomotic time,
right intercostal tube removal time, and hospital stay
were significantly reduced in the stapled anastomosis
compared to the hand-sewn anastomosis.
Keywords :
esophagectomy, hand-sewn anastomosis, staple anastomosis.
