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Peer-reviewedCC BY-NC-ND 4.0Anz Journal of Surgery

A Review of Linear Stapled‐Sutured Intrathoracic Oesophago‐Gastric Anastomosis by a Single Surgeon Over Three Decades

  • Matilda Anderson1,2
  • Enoch Wong1,2,3
  • Jan Goonawardena1,2,3
  • Peter Bird3
  • Richard Cade1,2,3,4
  • Akhtar H. Sayed Hassen1,2,3
4 affiliations
  1. 1Department of Upper Gastrointestinal and Hepato‐Pancreato‐Biliary Surgery Box Hill Hospital, Eastern Health Melbourne Australia
  2. 2Epworth Eastern Hospital Box Hill Australia
  3. 3Monash University, Eastern Health Campus Box Hill Australia
  4. 4St Vincent's Hospital Melbourne Australia
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Abstract

This paper describes the technique of performing an intrathoracic linear stapled/sutured anastomosis between the oesophagus and gastric conduit. It analyses the outcome from a single surgeon working at two co‐located hospitals.

Method: A retrospective review of prospectively collected data was performed. The study includes 188 operations performed by a single surgeon (ASH) between 1998 and 2025. The mortality and morbidity for the series are analyzed and the technique used is described.

Results: The anastomotic leak rate for the 188 patients was found to be 3.2% with an inpatient mortality of 0.5% at 30 days and a mortality of 1.1% at 90 days. The overall stricture rate requiring dilatation was approximately 4.3%. These results from a low volume center compare favorably with international data.

Conclusion: The linear stapled/sutured anastomotic technique is associated with a low anastomotic leak rate and mortality. The stricture rate is also low when compared to other series of oesophagectomy.

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Cite

BibTeXRIS
BibTeX
@article{anderson2026review,
  title = {{A Review of Linear Stapled‐Sutured Intrathoracic Oesophago‐Gastric Anastomosis by a Single Surgeon Over Three Decades}},
  author = {Matilda Anderson and Enoch Wong and Jan Goonawardena and Peter Bird and Richard Cade and Akhtar H. Sayed Hassen},
  journal = {Anz Journal of Surgery},
  year = {2026},
  month = jun,
  doi = {10.1111/ans.70801},
  url = {https://doi.org/10.1111/ans.70801},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - A Review of Linear Stapled‐Sutured Intrathoracic Oesophago‐Gastric Anastomosis by a Single Surgeon Over Three Decades
AU  - Matilda Anderson
AU  - Enoch Wong
AU  - Jan Goonawardena
AU  - Peter Bird
AU  - Richard Cade
AU  - Akhtar H. Sayed Hassen
PY  - 2026
DA  - 2026/06/16
JO  - Anz Journal of Surgery
DO  - 10.1111/ans.70801
UR  - https://doi.org/10.1111/ans.70801
AB  - This paper describes the technique of performing an intrathoracic linear stapled/sutured anastomosis between the oesophagus and gastric conduit. It analyses the outcome from a single surgeon working at two co‐located hospitals.  Method: A retrospective review of prospectively collected data was performed. The study includes 188 operations performed by a single surgeon (ASH) between 1998 and 2025. The mortality and morbidity for the series are analyzed and the technique used is described.  Results: The anastomotic leak rate for the 188 patients was found to be 3.2% with an inpatient mortality of 0.5% at 30 days and a mortality of 1.1% at 90 days. The overall stricture rate requiring dilatation was approximately 4.3%. These results from a low volume center compare favorably with international data.  Conclusion: The linear stapled/sutured anastomotic technique is associated with a low anastomotic leak rate and mortality. The stricture rate is also low when compared to other series of oesophagectomy.
SN  - 1445-1433
SN  - 1445-2197
ER  -