Cervical Esophagogastric Anastomosis for Esophageal and GE Junction Carcinoma Hand-Sewn Versus Stapled

Author(s):

Farooq Ahmad Ganie, Masarat-ul Gani, Nadeem-ul nazir kawoosa, G N Lone, and Hakeem Zubair Ashraf

Introduction: Anastomotic leak is one of the main causes of morbidity following esophageal resection for carcinoma of the esophagus and gastroesophageal junction. We compared hand sewn and stapled cervical esophagogastric anastomotic techniques in terms of postoperative complications. Methods: All patients who underwent esophagectomy with cervical esophagogastric anastomosis at SKIMS soura department of cardio vascular thoracic surgery from 2018 to 2020 were included in the study. Both early and late complications were analyzed. Results: 60 patients underwent resection for carcinoma of esophagus and gastroesophageal junction with cervical esophagogastric anastomosis. 30 patients underwent a hand-sewn anastomosis and 30 patients underwent stapled anastomosis. Both groups were compared with respect to morbidity mortality. Conclusion: Both hand-sewn and stapled anastomotic techniques are equally effective way of performing a cervical esophagogastric anastomosis. However, patients with stapled anastomosis had less anastomotic leak and stricture formation compared to hand-sewn.