Table 4. Surgical case series of anastomotic complications after total gastrectomy (Publication date 1990-2016, study n ≥70).
| First Author | Study period | Approacha | Anastomosis Methodb | n | EJ Leak (%) | EJ Stenosis (%) |
|---|---|---|---|---|---|---|
| Fujimoto S[38] | 1983-1989 | O | Hand | 180 | 2.2 | 0.6 |
| O | Circular | 199 | 3.5 | 3.0 | ||
|
| ||||||
| Seufert RM[39] | 1987-1988 | O | Hand | 40 | 0 | 2.5 |
| O | Circular | 40 | 2.5 | 0 | ||
|
| ||||||
| Kim CB[44] | 1987-1992 | O | Circular | 100 | 2.0 | 2.0 |
|
| ||||||
| Yoo CH[45] | 1990-2000 | O | Circular | 185 | 4.9 | 8.1 |
|
| ||||||
| Kawamura Y[46] | 1997-2012 | LA | Linear | 259 | 5.0 | NR |
|
| ||||||
| Jeong GA[47] | 1998-2005 | LA | Circular | 131 | 2.3 | 0 |
|
| ||||||
| Sierzega M[17] | 1999-2004 | O | Circular | 690 | 5.9 | NR |
|
| ||||||
| Hyodo M[35] | 2001-NR | O | Circular | 390 | 0.5 | 1.0 |
|
| ||||||
| Son MW[48] | 2001-2008 | O | Circular | 106 | 1.9 | 2.8 |
|
| ||||||
| Ito H[49] | 2001-2012 | O | Circular | 166 | 4.2 | 3.0 |
| LA | Circular | 46 | 0 | 4.3 | ||
| TL | Circular | 117 | 1.7 | 1.7 | ||
|
| ||||||
| Wada N[50] | 2001-2012 | LA | Circular | 100 | 4.0 | 0 |
|
| ||||||
| Nagai E[51] | 2002-2010 | LA | Linear | 94 | 2.1 | 0 |
|
| ||||||
| Lee JH[52] | 2003-2010 | O + LA | Circular | 753 | 1.5 | 3 |
|
| ||||||
| Lee MS[53] | 2003-2010 | O | Circular | 228 | 2.2 | 1.8 |
|
| ||||||
| Jeong O[54] | 2003-2011 | O | Circular | 122 | 2.5 | 1.6 |
| LA | Circular | 122 | 7.4 | 1.6 | ||
| 2004- 2013 | LA | Circular | 203 | 4.4 | NR | |
|
| ||||||
| Kim DJ[55] | 2004-2014 | LA | Circular | 94 | 5.3 | 3.2 |
|
| ||||||
| Usui S[56] | 2004-2014 | LA | Circular | 78 | 0 | 0 |
|
| ||||||
| Morimoto M[41] | 2005-2013 | LA | Linear | 77 | 0 | 1.3 |
|
| ||||||
| Lee SR[57] | 2006-2009 | O | Circular | 50 | 6.0 | 0 |
| LA | Circular | 34 | 5.9 | 5.9 | ||
|
| ||||||
| Tsunoda S[58] | 2006-2012 | TL | Linear | 112 | 1.8 | 0 |
|
| ||||||
| Chen K[42, 59] | 2006-2014 | TL | Hand | 42 | 0 | 0 |
| Linear | 32 | 0 | 6.3 | |||
| Circular | 18 | 5.6 | 5.6 | |||
|
| ||||||
| Ichikawa D[60] | 2007-2013 | LA | Circular | 88 | 0 | 3.4 |
|
| ||||||
| Kanaji S[36] | 2008-2011 | O | Circular | 185 | 4.9 | NR |
|
| ||||||
| Kim HS[61] | 2009-2010 | TL | Linear | 124 | 1.6 | 1.6 |
|
| ||||||
| Yoon HM[26] | 2009-2011 | LA | Circular | 65 | 4.6 | 4.6 |
| RA | Circular | 36 | 0 | 2.8 | ||
|
| ||||||
| Shim JH[62] | 2009-2011 | O | Hand | 35 | 2.9 | 0 |
| LA | Linear + Circular | 35 | 8.6 | 22.9 | ||
|
| ||||||
| Song JH[63] | 2009-2013 | O | Circular | 134 | 0 | NR |
| LA | Circular | 74 | 0 | NR | ||
|
| ||||||
| Zhang G[64] | 2010-2011 | LA | Circular | 73 | 0 | 0 |
|
| ||||||
| Kim HS[27, 65] | 2011 | O | Linear | 207 | 1.4 | 0.5 |
| TL | Linear | 139 | 0.7 | 0 | ||
|
| ||||||
| Li P[66] | 2012 | LA | Circular | 108 | 0.9 | NR |
a
O = open; LA = laparoscopy-assisted; TL = totally laparoscopic; RA = robot-assisted
b
Hand = manually hand-sewn; Linear = linear stapler; Circular = circular stapler (including transoral delivery of anvil) n = number of patients; EJ = esophagojejunal anastomosis; NR = not recorded