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

UNLABELLED: 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.