©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Aug 28, 2015; 21(32): 9656-9665
Published online Aug 28, 2015. doi: 10.3748/wjg.v21.i32.9656
Published online Aug 28, 2015. doi: 10.3748/wjg.v21.i32.9656
Systematic review of anastomotic complications of esophagojejunostomy after laparoscopic total gastrectomy
Mikito Inokuchi, Yoshitaka Fujimori, Yuya Sato, Masatoshi Nakagawa, Sho Otuski, Department of Surgical Oncology, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
Kazuyuki Kojima, Department of Minimally Invasive Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
Author contributions: Inokuchi M and Kojima K contributed to the writing of this manuscript; Fujimori Y, Otsuki S, Nakagawa M and Sato Y contributed to the gathering, review, and analysis of the related literature.
Conflict-of-interest statement: The authors declare that they have no competing financial interests.
Correspondence to: Mikito Inokuchi, MD, PhD, Department of Gastrointestinal Surgery, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8519, Japan. m-inokuchi.srg2@tmd.ac.jp
Telephone: +81-3-58035261 Fax: +81-3-58030139
Received: April 23, 2015
Peer-review started: April 24, 2015
First decision: May 18, 2015
Revised: June 2, 2015
Accepted: July 8, 2015
Article in press: July 8, 2015
Published online: August 28, 2015
Processing time: 127 Days and 1.4 Hours
Peer-review started: April 24, 2015
First decision: May 18, 2015
Revised: June 2, 2015
Accepted: July 8, 2015
Article in press: July 8, 2015
Published online: August 28, 2015
Processing time: 127 Days and 1.4 Hours
Core Tip
Core tip: In this updated meta-analysis of non-randomized controlled trials comparing laparoscopic total gastrectomy (LTG) and open total gastrectomy, the incidence of anastomotic leakage was similar, and that of anastomotic stenosis was slightly, but not significantly, higher when LTG was performed. The incidence of anastomotic stenosis was relatively high for new procedures that utilize a trans-orally inserted anvil (OrVilTM) in reported case series of LTG.