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26 January 2023: Clinical Research

Comparison of Postoperative Outcomes of Hand-Sewn Versus Stapled Esophago-jejunal Anastomosis During Total Gastrectomy for Gastric Cancer in 72 Patients: A Retrospective, Single-Center Study in Poland

Karolina Majewska 1ABCDEF* , Patryk Zemła 1ABCDEF , Beata Jabłońska 2ACDEF , Sławomir Mrowiec 2ADE

DOI: 10.12659/MSM.938759

Med Sci Monit 2023; 29:e938759

Table 2 Perioperative parameters.

Hand-sewn anastomosis (n=28, 39%)Stapled anastomosis (n=44, 61%)P value
 Standard TG23/28 (82.1%)31/44 (70.5%)
 Extended TG4/28 (14.3%)7/44 (15.9%)
 Palliative TG1/28 (3.6%)4/44 (9.1%)
 Completion TG2/44 (4.5%)
300, IQR 120 (190–421)293, IQR 83 (195–465)0.6
200, IQR 300 (0–1400)200, IQR 200 (0–700)0.7
24/28 (85.7%)33/44 (75%)0.5
2/44 (4.5%)0.5
5/28 (17.9%)5/44 (11.4%)0.5
 Duration of parenteral nutrition10, IQR 5 (6–14)15, IQR 13 (2–44)0.5
11, IQR 3 (9–45)11, IQR 5 (7–58)0.5
9, IQR 2 (8–44)9, IQR 3 (6–57)0.2
n number of patients; TG total gastrectomy; IQR interquartile range; Standard TG resection of at least two-thirds of the stomach with a D2 lymph node dissection performed with curative intent; Extended TG (1) Gastrectomy with combined resection of adjacent involved organs. (2) Gastrectomy with extended lymphadenectomy exceeding D2; Paliative TG surgery to relieve symptoms, palliative gastrectomy or gastrojejunostomy is selected depending on the resectability of the primary tumor and/or surgical risks; Completion TG total resection of the remnant stomach including the cardia or pylorus depending on the type of previous gastrectomy.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750