A case-control study of extracorporeal versus intracorporeal anastomosis in patients subjected to right laparoscopic hemicolectomy
| Autor: | Jorge Arredondo Chaves, Nicolás Pedano Rodríguez, Manuel Bellver Oliver, Álvaro Bueno Delgado, Jorge Baixauli Fons, José Luis Hernández Lizoain, Carlos Pastor Idoate |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Colon Anastomosis Dehiscence Extracorporeal Ileum Colon surgery medicine Humans Prospective Studies Prospective cohort study Hemicolectomy Colectomy Retrospective Studies business.industry Anastomosis Surgical General Engineering Retrospective cohort study Middle Aged Colorectal surgery Surgery Case-Control Studies Female Laparoscopy business |
| Zdroj: | Cirugía Española (English Edition). 89:24-30 |
| ISSN: | 2173-5077 |
| DOI: | 10.1016/s2173-5077(11)70005-9 |
| Popis: | Introduction There is still insufficient scientific evidence on which is the best technique to perform the anastomosis -intracorporeal (IC) or extracorporeal (EC)- in right laparoscopic hemicolectomy. The objective of the present study is to determine whether there are differences to compare in both techniques. Material and methods A study was performed on a prospective patient series subjected to right laparoscopic hemicolectomy in our Hospital. The preoperative and the postoperative variables associated with complications recorded depending on the type of anastomosis. Results A total of 60 patients were intervened form June 2004 to June 2010 (35 IC; 25 EC). There were no significant differences between both groups as regards baseline preoperative characteristics or associated comorbidities. The median operation time was 212 minutes (142–305 min), with no significant difference between both techniques. The number of lymph nodes removed was higher in the IC group (21 vs 14; P = .03). The beginning of oral tolerance and the first bowel movement were significantly earlier in the IC group. The complications rate was similar for both groups (14% IC; 16% EC; P = .89). Three patients in the IC group had anastomosis dehiscence. The mortality rate was 2.8% (one patient in each group) Conclusion Intracorporeal versus extracorporeal anastomosis in right laparoscopic hemicolectomy can obtain a higher number of resected lymph nodes and an earlier oral tolerance and intestinal transit. |
| Databáze: | OpenAIRE |
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