Postoperative complications analysis of circular stapled versus linear stapled anastomosis for patients undergoing esophagectomy: a systematic review and meta-analysis

The choice of anastomosis technique after esophagectomy is closely associated with the postoperative complications. Whether circular stapled or linear stapled anastomosis is the optimal technique has not been established. Therefore, we conducted this meta-analysis to show the latest and most compreh...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2023-08, Vol.18 (1), p.242-242, Article 242
Main Authors: Gu, Hao-Yu, Luo, Jing, Qiang, Yong
Format: Article
Language:English
Subjects:
Anastomosis
Anastomotic leak
Anastomotic leakage
Anastomotic stricture
Bias
Cancer
Circular
Clinical trials
Comparative studies
Complications
Confidence intervals
Dysphagia
Esophagitis
Esophagus
Heterogeneity
Linear
Medical prognosis
Meta-analysis
Patients
Postoperative
Postoperative period
Risk management
Risk reduction
Software
Statistical analysis
Stricture
Surgeons
Surgical anastomosis
Systematic review
Thorax
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Summary:The choice of anastomosis technique after esophagectomy is closely associated with the postoperative complications. Whether circular stapled or linear stapled anastomosis is the optimal technique has not been established. Therefore, we conducted this meta-analysis to show the latest and most comprehensive published assessment of circular stapled anastomosis in comparison with linear stapled anastomosis in postoperative complications. Databases (PubMed, Embase, Web of science, Cochrane Library) were searched for all randomized controlled trials and comparative studies comparing circular stapled anastomosis with linear stapled anastomosis after esophagectomy. The odd ratio and mean difference with 95% confidence interval were calculated. We used the Higgins I² statistics to assess the statistical heterogeneity between studies. Review manager (version 5.4) software was used in this analysis. Sixteen studies with 2322 patients were included in our study. The study demonstrated that the use of linear stapled technique after esophagectomy could reduce the risk of both anastomotic leakage (P = 0.0003) and stricture (P 
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-023-02309-y