Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Oncology Letters
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-1074 Online ISSN: 1792-1082
Journal Cover
January-2025 Volume 29 Issue 1

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
January-2025 Volume 29 Issue 1

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article Open Access

Comparative analysis of manual vs. mechanical suturing techniques in esophagectomy: A propensity score‑matched study of long‑term outcomes

  • Authors:
    • Simiao Lu
    • Kexun Li
    • Longlin Jiang
    • Jicheng Xiong
    • Shuoming Liang
    • Ziwei Wang
    • Hainan Cheng
    • Wenwu He
    • Chenghao Wang
    • Kangning Wang
    • Haojun Li
    • Qiang Zhou
    • Huan Zhang
    • Qiang Fang
    • Qifeng Wang
    • Yongtao Han
    • Lin Peng
    • Xuefeng Leng
  • View Affiliations / Copyright

    Affiliations: Department of Thoracic Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technology of China (Sichuan Cancer Hospital), Chengdu, Sichuan 610041, P.R. China, Department of Radiation Oncology, Sichuan Cancer Hospital and Institute, University of Electronic Science and Technology of China, Chengdu, Sichuan 610041, P.R. China
    Copyright: © Lu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 51
    |
    Published online on: November 11, 2024
       https://doi.org/10.3892/ol.2024.14797
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

Esophageal cancer, particularly esophageal squamous cell carcinoma (ESCC), is a major health concern worldwide, particularly in China. Surgical resection is still considered the primary curative treatment for this disease. However, the effect of different surgical methods‑traditional hand‑sewn anastomosis and modern mechanical anastomosis‑remains controversial. A retrospective study was thus performed to elucidate how these two techniques affected the clinical prognosis of patients. Data were retrospectively collected from the comprehensive Esophageal Cancer Case Management Database of Sichuan Cancer Hospital and Institute (Chengdu, China), covering the period from 2010 to 2017. The cohort consisted of patients who underwent esophagectomy for ESCC, divided into two groups based on the suturing technique used: Manual suturing (MS) and mechanical suturing (MeS). A total of four causal inference methods for retrospective studies, namely inverse probability of treatment weighting, standardized mortality ratio weighting, overlap weighting and propensity score matching analysis, were used to minimize potential selection bias. The primary outcome evaluated was overall survival (OS), allowing for a direct comparison of the long‑term efficacy of the two suturing methods. In a retrospective analysis of 2,510 patients undergoing esophagectomy, significant differences in OS were observed between the MeS group and the MS group (hazard ratio: 0.84; 95% confidence interval: 0.75‑0.95; P=0.004). However, after matching or weighting based on causal inference analyses, no significant differences in survival outcomes between groups were obtained. The equivalence in outcomes suggests that either suturing method may be equally viable in clinical practice, offering flexibility in surgical decision‑making without compromising OS. 
View Figures

Figure 1

Figure 2

Figure 3

Figure 4

View References

1 

Frick C, Rumgay H, Vignat J, Ginsburg O, Nolte E, Bray F and Soerjomataram I: Quantitative estimates of preventable and treatable deaths from 36 cancers worldwide: A population-based study. Lancet Glob Health. 11:e1700–e1712. 2023. View Article : Google Scholar : PubMed/NCBI

2 

Zheng RS, Chen R, Han BF, Wang SM, Li L, Sun KX, Zeng HM, Wei WW and He J: Cancer incidence and mortality in China, 2022. Zhonghua Zhong Liu Za Zhi. 46:221–231. 2024.(In Chinese). PubMed/NCBI

3 

Siegel RL, Miller KD, Wagle NS and Jemal A: Cancer statistics, 2023. CA Cancer J Clin. 73:17–48. 2023. View Article : Google Scholar : PubMed/NCBI

4 

Li K, Nie X, Li C, He W, Wang C, Du K, Li K, Liu K, Li Z, Lu S, et al: Mapping of lymph node metastasis and efficacy index in thoracic esophageal squamous cell carcinoma: A large-scale retrospective analysis. Ann Surg Oncol. 30:5856–5865. 2023. View Article : Google Scholar : PubMed/NCBI

5 

Tachimori Y, Ozawa S, Numasaki H, Matsubara H, Shinoda M, Toh Y, Udagawa H, Fujishiro M, Oyama T and Uno T; Registration Committee for Esophageal Cancer of the Japan Esophageal Society, : Efficacy of lymph node dissection by node zones according to tumor location for esophageal squamous cell carcinoma. Esophagus. 13:1–7. 2016. View Article : Google Scholar : PubMed/NCBI

6 

Li K, Leng X, He W, Du K, Li C, Liu K, Wang C, Liu G, Li Z, Jiang L, et al: Resected lymph nodes and survival of patients with esophageal squamous cell carcinoma: an observational study. Int J Surg. 109:2001–2009. 2023.PubMed/NCBI

7 

Kelly RJ, Ajani JA, Kuzdzal J, Zander T, Van Cutsem E, Piessen G, Mendez G, Feliciano J, Motoyama S, Lièvre A, et al: Adjuvant nivolumab in resected esophageal or gastroesophageal junction cancer. N Engl J Med. 384:1191–1203. 2021. View Article : Google Scholar : PubMed/NCBI

8 

Shapiro J, van Lanschot JJB, Hulshof MCCM, van Hagen P, van Berge Henegouwen MI, Wijnhoven BPL, van Laarhoven HWM, Nieuwenhuijzen GAP, Hospers GAP, Bonenkamp JJ, et al: Neoadjuvant chemoradiotherapy plus surgery versus surgery alone for oesophageal or junctional cancer (CROSS): Long-term results of a randomised controlled trial. Lancet Oncol. 16:1090–1098. 2015. View Article : Google Scholar : PubMed/NCBI

9 

Yan X, Duan H, Ni Y, Zhou Y, Wang X, Qi H, Gong L, Liu H, Tian F, Lu Q, et al: Tislelizumab combined with chemotherapy as neoadjuvant therapy for surgically resectable esophageal cancer: A prospective, single-arm, phase II study (TD-NICE). Int J Surg. 103:1066802022. View Article : Google Scholar : PubMed/NCBI

10 

Yang H, Liu H, Chen Y, Zhu C, Fang W, Yu Z, Mao W, Xiang J, Han Y, Chen Z, et al: Neoadjuvant chemoradiotherapy followed by surgery versus surgery alone for locally advanced squamous cell carcinoma of the esophagus (NEOCRTEC5010): A phase III multicenter, randomized, open-label clinical trial. J Clin Oncol. 36:2796–2803. 2018. View Article : Google Scholar : PubMed/NCBI

11 

Alwatari Y, Freudenberger DC, Khoraki J, Bless L, Payne R, Julliard WA, Shah RD and Puig CA: Emergent esophagectomy in patients with esophageal malignancy is associated with higher rates of perioperative complications but no independent impact on short-term mortality. J Chest Surg. 57:160–168. 2024. View Article : Google Scholar : PubMed/NCBI

12 

Sugiyama F, Kanda M, Shimizu D, Umeda S, Inokawa Y, Hattori N, Hayashi M, Tanaka C, Nakayama G and Kodera Y: Absence of hypercoagulation status after neoadjuvant treatment is associated with favorable prognosis in patients undergoing subtotal esophagectomy for esophageal squamous cell carcinoma. Ann Surg Oncol. 31:3417–3425. 2024. View Article : Google Scholar : PubMed/NCBI

13 

van der Zijden CJ, van der Sluis PC, Mostert B, Nuyttens JJME, Spaander MCW, Toxopeus ELA, Valkema R, Beerepoot LV, van Halteren HK, Lagarde SM and Wijnhoven BPL: Induction chemotherapy followed by response evaluation and esophagectomy for advanced esophageal cancer. Eur J Surg Oncol. 50:1079682024. View Article : Google Scholar : PubMed/NCBI

14 

Ercan S, Rice TW, Murthy SC, Rybicki LA and Blackstone EH: Does esophagogastric anastomotic technique influence the outcome of patients with esophageal cancer? J Thorac Cardiovasc Surg. 129:623–631. 2005. View Article : Google Scholar : PubMed/NCBI

15 

Sugimura K, Miyata H, Matsunaga T, Asukai K, Yanagimoto Y, Takahashi Y, Tomokuni A, Yamamoto K, Hirofumi A, Nishimura J, et al: Comparison of the modified Collard and hand-sewn anastomosis for cervical esophagogastric anastomosis after esophagectomy in esophageal cancer patients: A propensity score-matched analysis. Ann Gastroenterol Surg. 3:104–113. 2019. View Article : Google Scholar : PubMed/NCBI

16 

Wang Z, Wei Y, Liu X, Li Z, Zhu G, Li Y and Wang K: Application value of hand-sewn anastomosis in totally laparoscopic total gastrectomy for gastric cancer. World J Surg Oncol. 19:2292021. View Article : Google Scholar : PubMed/NCBI

17 

Chen Z, Wang D, Zhao Q, Yang P, Ding P, Fan H, Dong T, Liu Z, Yang X, Ren L and Li Y: A case series of 10 patients undergone linear cutter/stapler guiding device-led overlapped esophagojejunostomy: A preliminary study. J Gastrointest Oncol. 14:617–625. 2023. View Article : Google Scholar : PubMed/NCBI

18 

Petrin G, Ruol A, Battaglia G, Buin F, Merigliano S, Constantini M, Pavei P, Cagol M, Scappin S and Ancona E: Anastomotic stenoses occurring after circular stapling in esophageal cancer surgery. Surg Endosc. 14:670–674. 2000. View Article : Google Scholar : PubMed/NCBI

19 

Orringer MB, Marshall B and Iannettoni MD: Eliminating the cervical esophagogastric anastomotic leak with a side-to-side stapled anastomosis. J Thorac Cardiovasc Surg. 119:277–288. 2000. View Article : Google Scholar : PubMed/NCBI

20 

Kondra J, Ong SRY, Clifton J, Evans K, Finley RJ and Yee J: A change in clinical practice: A partially stapled cervical esophagogastric anastomosis reduces morbidity and improves functional outcome after esophagectomy for cancer. Dis Esophagus. 21:422–429. 2008. View Article : Google Scholar : PubMed/NCBI

21 

Singhal S, Kailasam A, Akimoto S, Masuda T, Bertellotti C and Mittal SK: Simple technique of circular stapled anastomosis in Ivor Lewis esophagectomy. J Laparoendosc Adv Surg Tech A. 27:288–294. View Article : Google Scholar : PubMed/NCBI

22 

Singh D, Maley RH, Santucci T, Macherey RS, Bartley S, Weyant RJ and Landreneau RJ: Experience and technique of stapled mechanical cervical esophagogastric anastomosis. Ann Thorac Surg. 71:419–424. 2001. View Article : Google Scholar : PubMed/NCBI

23 

Huang C, Zhao J, Liu Z, Huang J and Zhu Z: Esophageal suspension method for hand-sewn esophagojejunostomy after totally laparoscopic total gastrectomy: A simple, safe, and feasible suturing technique. Front Oncol. 10:5752020. View Article : Google Scholar : PubMed/NCBI

24 

Sannohe Y, Hiratsuka R, Doki K, Inutsuka S and Hirano M: Mechanical suture methods in Esophago-gastrointestinal anastomosis. Jpn J Surg. 9:313–321. 1979. View Article : Google Scholar : PubMed/NCBI

25 

Ajani JA, D'Amico TA, Bentrem DJ, Chao J, Corvera C, Das P, Denlinger CS, Enzinger PC, Fanta P, Farjah F, et al: Esophageal and esophagogastric junction cancers, version 2.2019, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw. 17:855–883. 2019. View Article : Google Scholar : PubMed/NCBI

26 

Li K, Lu S, Li C, He W, Du K, Liu K, Wang C, Li J, Wang Z, Zhou Y, et al: Long-Term outcomes of smoker and drinker with oesophageal squamous cell carcinoma after oesophagectomy: A Large-scale propensity score matching analysis. BMJ Open Gastroenterol. 11:e0014522024. View Article : Google Scholar : PubMed/NCBI

27 

Kitagawa Y, Ishihara R, Ishikawa H, Ito Y, Oyama T, Oyama T, Kato K, Kato H, Kawakubo H, Kawachi H, et al: Esophageal cancer practice guidelines 2022 edited by the Japan Esophageal Society: Part 1. Esophagus. 20:343–372. 2023. View Article : Google Scholar : PubMed/NCBI

28 

Kitagawa Y, Ishihara R, Ishikawa H, Ito Y, Oyama T, Oyama T, Kato K, Kato H, Kawakubo H, Kawachi H, et al: Esophageal cancer practice guidelines 2022 edited by the Japan Esophageal Society: Part 2. Esophagus. 20:373–389. 2023. View Article : Google Scholar : PubMed/NCBI

29 

Li C, Zhao S, Zheng Y, Han Y, Chen X, Cheng Z, Wu Y, Feng X, Qi W, Chen K, et al: Preoperative pembrolizumab combined with chemoradiotherapy for oesophageal squamous cell carcinoma (PALACE-1). Eur J Cancer. 144:232–241. 2021. View Article : Google Scholar : PubMed/NCBI

30 

Yu YK, Meng FY, Wei XF, Chen XK, Li HM, Liu Q, Li CJ, Xie HN, Xu L, Zhang RX, et al: Neoadjuvant chemotherapy combined with immunotherapy versus neoadjuvant chemoradiotherapy in patients with locally advanced esophageal squamous cell carcinoma. J Thorac Cardiovasc Surg. 168:417–428.e3. 2024. View Article : Google Scholar : PubMed/NCBI

31 

Zhou Y, He W, Guo P, Zhou C, Luo M and Liu Y, Yang H, Qin S, Leng X, Huang Z and Liu Y: Development and validation of a recurrence-free survival prediction model for locally advanced esophageal squamous cell carcinoma with neoadjuvant chemoradiotherapy. Ann Surg Oncol. 31:178–191. 2024. View Article : Google Scholar : PubMed/NCBI

32 

He W, Leng X, Mao T, Luo X, Zhou L, Yan J, Peng L, Fang Q, Liu G, Wei X, et al: Toripalimab plus paclitaxel and carboplatin as neoadjuvant therapy in locally advanced resectable esophageal squamous cell carcinoma. Oncologist. 27:e18–e28. 2022. View Article : Google Scholar : PubMed/NCBI

33 

Li K, Du K, Liu K, Nie X, Li C, He W, Li K, Wang C, Li Z, Zheng K, et al: Impact of two-field or three-field lymphadenectomy on overall survival in middle and lower thoracic esophageal squamous cell carcinoma: A single-center retrospective analysis. Oncol Lett. 25:1892023. View Article : Google Scholar : PubMed/NCBI

34 

Li B, Zhang Y, Miao L, Ma L, Luo X, Zhang Y, Ye T, Li H, Zhang J, Li Y, et al: sophagectomy with three-field versus two-field lymphadenectomy for middle and lower thoracic esophageal cancer: Long-term outcomes of a randomized clinical trial. J Thorac Oncol. 16:310–217. 2021. View Article : Google Scholar : PubMed/NCBI

35 

Oshikiri T, Numasaki H, Oguma J, Toh Y, Watanabe M, Muto M, Kakeji Y and Doki Y: Prognosis of patients with esophageal carcinoma after routine thoracic duct resection: A propensity-matched analysis of 12,237 patients based on the comprehensive registry of esophageal cancer in Japan. Ann Surg. 277:e1018–e1025. 2023. View Article : Google Scholar : PubMed/NCBI

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Lu S, Li K, Jiang L, Xiong J, Liang S, Wang Z, Cheng H, He W, Wang C, Wang K, Wang K, et al: Comparative analysis of manual vs. mechanical suturing techniques in esophagectomy: A propensity score‑matched study of long‑term outcomes. Oncol Lett 29: 51, 2025.
APA
Lu, S., Li, K., Jiang, L., Xiong, J., Liang, S., Wang, Z. ... Leng, X. (2025). Comparative analysis of manual vs. mechanical suturing techniques in esophagectomy: A propensity score‑matched study of long‑term outcomes. Oncology Letters, 29, 51. https://doi.org/10.3892/ol.2024.14797
MLA
Lu, S., Li, K., Jiang, L., Xiong, J., Liang, S., Wang, Z., Cheng, H., He, W., Wang, C., Wang, K., Li, H., Zhou, Q., Zhang, H., Fang, Q., Wang, Q., Han, Y., Peng, L., Leng, X."Comparative analysis of manual vs. mechanical suturing techniques in esophagectomy: A propensity score‑matched study of long‑term outcomes". Oncology Letters 29.1 (2025): 51.
Chicago
Lu, S., Li, K., Jiang, L., Xiong, J., Liang, S., Wang, Z., Cheng, H., He, W., Wang, C., Wang, K., Li, H., Zhou, Q., Zhang, H., Fang, Q., Wang, Q., Han, Y., Peng, L., Leng, X."Comparative analysis of manual vs. mechanical suturing techniques in esophagectomy: A propensity score‑matched study of long‑term outcomes". Oncology Letters 29, no. 1 (2025): 51. https://doi.org/10.3892/ol.2024.14797
Copy and paste a formatted citation
x
Spandidos Publications style
Lu S, Li K, Jiang L, Xiong J, Liang S, Wang Z, Cheng H, He W, Wang C, Wang K, Wang K, et al: Comparative analysis of manual vs. mechanical suturing techniques in esophagectomy: A propensity score‑matched study of long‑term outcomes. Oncol Lett 29: 51, 2025.
APA
Lu, S., Li, K., Jiang, L., Xiong, J., Liang, S., Wang, Z. ... Leng, X. (2025). Comparative analysis of manual vs. mechanical suturing techniques in esophagectomy: A propensity score‑matched study of long‑term outcomes. Oncology Letters, 29, 51. https://doi.org/10.3892/ol.2024.14797
MLA
Lu, S., Li, K., Jiang, L., Xiong, J., Liang, S., Wang, Z., Cheng, H., He, W., Wang, C., Wang, K., Li, H., Zhou, Q., Zhang, H., Fang, Q., Wang, Q., Han, Y., Peng, L., Leng, X."Comparative analysis of manual vs. mechanical suturing techniques in esophagectomy: A propensity score‑matched study of long‑term outcomes". Oncology Letters 29.1 (2025): 51.
Chicago
Lu, S., Li, K., Jiang, L., Xiong, J., Liang, S., Wang, Z., Cheng, H., He, W., Wang, C., Wang, K., Li, H., Zhou, Q., Zhang, H., Fang, Q., Wang, Q., Han, Y., Peng, L., Leng, X."Comparative analysis of manual vs. mechanical suturing techniques in esophagectomy: A propensity score‑matched study of long‑term outcomes". Oncology Letters 29, no. 1 (2025): 51. https://doi.org/10.3892/ol.2024.14797
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team