Transitioning from hand-sewn to circular stapled cervical anastomosis after minimally invasive esophagectomy: a Western centre propensity score matching analysis - Takeaways - MDSpire
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Shifting from Hand-Sewn to Circular Stapled Techniques for Cervical Anastomosis in Minimally Invasive Esophagectomy: A Propensity Score Matched Analysis from a Western Center

  • By

  • Lorenzo Giorgi

  • Giovanni Maria Garbarino

  • Andrea Pansa

  • Mattia Di Benedetto

  • Silvia Basato

  • Salvatore Marano

  • Rita Alfieri

  • Carlo Castoro

  • August 24, 2026

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  • 1

    Esophageal cancer ranks among the top ten malignancies globally, with over 600,000 new cases and approximately 544,000 deaths annually.

  • 2

    Cervical esophagogastric anastomosis is critical after subtotal esophagectomy, particularly for mid-to-upper thoracic or cervical tumors.

  • 3

    The study evaluates the transition from hand-sewn to circular stapled techniques for cervical anastomosis in minimally invasive esophagectomy.

  • 4

    Primary endpoints of the study include anastomotic leaks and stricture incidence, with secondary endpoints including postoperative complications and length of hospital stay.

  • 5

    The study received Institutional Review Board approval and adhered to the Declaration of Helsinki and STROBE guidelines.

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