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s / International Journal of Surgery 8 (2010) 501–578 525 Laparotomywas required for 10 episodes (20%). 27 episodes (55%) required minor operation such as removal of F.B or closure of skin laceration. Of the two patients admitted with insertion of foreign body per rectum, one required laparotomy to retrieve a glass. INTRACORPOREAL ANASTOMOSIS IN RIGHT HEMICOLECTOMY – A SAFE PROCEDURE M. Gowda, K. Maude, J.P. Griffith. Bradford Royal Infirmary Introduction: Laparoscopic extracorporeal anastomosis (ECA) in right hemicolectomy has been routinely performed in our department since February 2003. Intracorporeal anastomosis (ICA) was introduced in April 2007 allowing specimen retrieval via a smaller left iliac fossa incision. We compare our experience of ICA with ECA. Method: Prospective audit of 73 consecutive patients undergoing right hemicolectomy was performed. Data collected were patient demographics, BMI, duration of operation, type of anastomosis, previous surgery, conversion rate, histology, operative blood loss, length of stay and post operative complications. Statistical analysis was performed using mann-whitney test. Results: 48 ECA and 25 ICA were performed. There was no significant difference in sex distribution (ECA; male 24, female 24 vs. ICA; male 9, female 16 (p 1⁄4 0.254)) and median age at operation (ECA; 72.5 years vs. ICA; 70 years (p 1⁄4 0.898)). ECA took longer than ICA; median 163.5 vs. 142 minutes respectively (p1⁄4 0.041). Length of staywas significantly shorter in those undergoing ICA (ICA; 4 days vs. ECA; 6 days (p 30) and overweight (BMI>25). However, in-hospital mortality and length of stay were significantly higher for those with a BMI 25 but this did not reach significance (p 1⁄4 0.07). Conclusions: Patients with morbid obesity who undergo oesophagectomy can expect similar results to their lighter counterparts. SHOULD INFRAINGUINAL BYPASS SURGERY BE PERFORMED BY UNSUPERVISED TRAINEES? K. Akbari, N. Pal. Queen Alexandra Hospital, Portsmouth NHS Trust |
