Publication Name	World Journal of Clinical Oncology
Manuscript ID	109246
Country	Poland

Category	Otorhinolaryngology
Manuscript Type	Observational Study
Article Title	Closure techniques for esophageal reconstruction after total laryngectomy and their impact on fistula formation
Manuscript Source	Unsolicited Manuscript
All Author List	Adam Galazka, Katarzyna Stawarz, Karolina Bienkowska-Pluta, Monika Paszkowska and Magdalena Misiak-Galazka
Funding Agency and Grant Number
Corresponding Author	Katarzyna Stawarz, MD, PhD, Head and Neck Cancer Department, Maria Skłodowska- Curie National Research Institute of Oncology, W.K.Roentgen 5, Warsaw 02-781, Mazowieckie, Poland. katarzyna.stawarz@coi.pl
Key Words	Laryngeal cancer; Total laryngectomy; Surgical stapler; Radiotherapy; Salivary fistula
Core Tip	This study compares stapler-assisted and hand-sewn techniques for esophageal closure after total laryngectomy, focusing on salivary fistula formation. Stapler-assisted closure significantly reduced fistula incidence (22.7% vs 77.3%) without technical complications, highlighting it as a safe and effective alternative to the traditional hand-sewn method. Preoperative radiotherapy was identified as a significant risk factor for fistula development. These findings suggest stapler-assisted closure may improve postoperative outcomes and should be considered in surgical planning for laryngectomy patients.
Citation	Galazka A, Stawarz K, Bienkowska-Pluta K, Paszkowska M, Misiak-Galazka M. Closure techniques for esophageal reconstruction after total laryngectomy and their impact on fistula formation. World J Clin Oncol 2025; In press

Received	2025-05-06 02:12
Peer-Review Started	2025-05-06 02:12
To Make the First Decision
Return for Revision	2025-05-17 07:50
Revised	2025-05-21 18:40
Second Decision	2025-06-19 02:40
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-06-19 09:45
Articles in Press	2025-06-19 09:45
Publication Fee Transferred	2025-05-30 15:53
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-4333 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright	©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Permissions	For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher	Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website	http://www.wjgnet.com