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 2ADEDOI: 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 | |
|---|---|---|---|
| 0.7 | |||
| Standard TG | 23/28 (82.1%) | 31/44 (70.5%) | |
| Extended TG | 4/28 (14.3%) | 7/44 (15.9%) | |
| Palliative TG | 1/28 (3.6%) | 4/44 (9.1%) | |
| Completion TG | – | 2/44 (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 nutrition | 10, 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. | |||