ReviewAnnals of gastroenterological surgery2023
What is the best reconstruction procedure after esophagectomy? A meta-analysis comparing posterior mediastinal and retrosternal approaches.
Review in Annals of gastroenterological surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Surgical approaches to esophageal cancer gastrointestinal reconstruction: a systematic review of jejunum, colon, and ileocolonic interposition with comparative outcome analysis.World journal of surgical oncology · 2026Pooled it
- A silicone disc for liver retraction in laparoscopic gastrectomy reduces the postoperative increase in the liver enzyme level.Surgery today · 2024Trial
- Association Between Quantitative Blood Flow Measurement Using SPY-QP Software and Prevention of Anastomotic Leakage in Esophageal Cancer Surgery.Annals of surgical oncology · 2026Article
- Risks and Benefits of Feeding Enterostomy Creation During Minimally Invasive Esophagectomy: A Propensity-Weighted Analysis Using the Japanese National Clinical Database.Annals of gastroenterological surgery · 2026Article
- Left Pleural Conduit: An Alternative Route for Esophageal Reconstruction When the Anterior and Posterior Mediastinal Planes Are Inaccessible.Annals of thoracic surgery short reports · 2026Article
- Cervical Anastomotic Leakage After Minimally Invasive McKeown Esophagectomy in the SAFER Surgical System: Clinical Course and Predictors of Delayed Healing.Thoracic cancer · 2026Article
- Impact of thoracic inlet anatomy and reconstruction route selection based on computed tomography three-dimensional reconstruction on cervical anastomotic leakage after esophagectomy.Journal of thoracic disease · 2026Article
- Successful use of transesophageal echocardiography for minimally invasive cardiac surgery after esophagectomy with gastric tube reconstruction via the retrosternal route: a case report.JA clinical reports · 2026Article
- Article
- Impact of Circular Stapler Size on Short-Term Outcomes and Long-Term Quality of Life After McKeown Esophagectomy.Annals of gastroenterological surgery · 2026Article
- Axial deviation of anastomosis: a risk factor for leakage in retrosternal gastric tube reconstruction after esophagectomy.General thoracic and cardiovascular surgery · 2026Article
- Clinical outcomes of 23-mm circular stapled cervical anastomosis after esophagectomy.Esophagus : official journal of the Japan Esophageal Society · 2026Article
- Article
- Advances in Minimally Invasive Esophagectomy-An Overview of Recent Developments and a Novel Classification of Innovations in Treatment of Thoracic Esophageal Cancer.Medicina (Kaunas, Lithuania) · 2025Review
- Assessment of colonic interposition graft using indocyanine green: expanding fluorescence imaging techniques in gastrointestinal surgery.Journal of surgical case reports · 2025Article
- Current advances and challenges in minimally invasive esophagectomy.International journal of clinical oncology · 2025Review
- Exploring predictive biomarkers of efficacy and survival with nivolumab treatment for unresectable/recurrent esophageal squamous cell carcinoma.Esophagus : official journal of the Japan Esophageal Society · 2025Article
- Impact of Dissected Lymph Node Count and Positive Lymph Node Ratio Following Esophagectomy on Long-Term Outcomes in Esophageal Cancer: A Systematic Review and Meta-Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Modification of the lesser curvature incision line enhanced gastric conduit perfusion as determined by indocyanine green fluorescence imaging and decreased the incidence of anastomotic leakage following esophagectomy.Esophagus : official journal of the Japan Esophageal Society · 2025Article
- A nationwide survey on the safety of cricothyrotomy: a multicenter retrospective study in Japan.Esophagus : official journal of the Japan Esophageal Society · 2025Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Thoracic esophagectomy is a particularly invasive and complicated surgical procedure, with a reconstruction of the gastrointestinal tract, such as the stomach, jejunum, or colon. The posterior mediastinal, retrosternal, and subcutaneous routes are the three possible esophageal reconstruction routes. Each route has advantages and disadvantages, and the optimal reconstruction route after esophagectomy remains controversial. Additionally, the best anastomotic techniques after esophagectomy in terms of location (Ivor Lewis or McKeown) and suturing (manual or mechanical) are debatable. Our meta-analysis investigating postoperative complications after esophagectomy between the posterior mediastinal and retrosternal routes revealed that the posterior mediastinal route was associated with a significantly lower anastomotic leakage rate than the retrosternal route (odds ratio = 0.78, 95% confidence interval: 0.70-0.87,
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