Pubblicazioni

Autori:

Milone, Marco; Bianchi, Paolo Pietro; Cianchi, Fabio; Coratti, Andrea; D’Amore, Anna; De Manzoni, Giovanni; De Pasqual, Carlo Alberto; Formisano, Giampaolo; Jovine, Elio; Morelli, Luca; Offi, Mariafortuna; Peri, Andrea; Pietrabissa, Andrea; Staderini, Fabio; Tribuzi, Angela; Giacopuzzi, Simone

Titolo:

Fashioning esophagogastric anastomosis in robotic Ivor-Lewis esophagectomy: a multicenter experience

Anno:

2024

Tipologia prodotto:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Lingua:

Inglese

Referee:

No

Nome rivista:

LANGENBECK'S ARCHIVES OF SURGERY

ISSN Rivista:

1435-2451

N° Volume:

409

Numero o Fascicolo:

1

Intervallo pagine:

1-9

Parole chiave:

Anastomosis; Esophagectomy; Esophagogastric; Ivor-Lewis; Robotic

Breve descrizione dei contenuti:

Background The aim of the present study is to compare outcomes of the robotic hand-sewn, linear- and circular-stapled techniques performed to create an intrathoracic esophagogastric anastomosis in patients who underwent Ivor-Lewis esophagectomy.MethodsPatients who underwent a planned Ivor-Lewis esophagectomy were retrospectively analysed from prospectively maintained databases. Only patients who underwent a robotic thoracic approach with the creation of an intrathoracic esophagogastric anastomosis were included in the study. Patients were divided into three groups: hand-sewn-, circular stapled-, and linear-stapled anastomosis group. Demographic information and surgery-related data were extracted. The primary outcome was the rate of anastomotic leakages (AL) in the three groups. Moreover, the rate of grade A, B and C anastomotic leakage were evaluated. In addition, patients of each group were divided in subgroups according to the characteristics of anastomotic fashioning technique.ResultsTwo hundred and thirty patients were enrolled in the study. No significant differences were found between the three groups about AL rate (p = 0.137). Considering the management of the AL for each of the three groups, no significant differences were found. Evaluating the correlation between AL rate and the characteristics of anastomotic fashioning technique, no significant differences were found.ConclusionsNo standardized anastomotic fashioning technique has yet been generally accepted. This study could be considered a call to perform ad hoc high-quality studies involving high-volume centers for upper gastrointestinal surgery to evaluate what is the most advantageous anastomotic technique.

Note:

The page range is based on the pdf file available in the journal web site

Id prodotto:

139505

Handle IRIS:

11562/1126099

ultima modifica:

10 maggio 2024

Citazione bibliografica:

Milone, Marco; Bianchi, Paolo Pietro; Cianchi, Fabio; Coratti, Andrea; D’Amore, Anna; De Manzoni, Giovanni; De Pasqual, Carlo Alberto; Formisano, Giampaolo; Jovine, Elio; Morelli, Luca; Offi, Mariafortuna; Peri, Andrea; Pietrabissa, Andrea; Staderini, Fabio; Tribuzi, Angela; Giacopuzzi, Simone, Fashioning esophagogastric anastomosis in robotic Ivor-Lewis esophagectomy: a multicenter experience «LANGENBECK'S ARCHIVES OF SURGERY» , vol. 409 , n. 1 , 2024 , pp. 1-9

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo