Intracorporeal versus extracorporeal anastomosis for minimally invasive right colectomy: A multi-center propensity score-matched comparison of outcomes
| Autor: | Vincent Obias, Robert K. Cleary, Eduardo Parra-Davila, Amir L. Bastawrous, Mark K Soliman, Daryl S Marx, Tobi J. Reidy, Alessio Pigazzi, Andrew Kassir, Joseph C. Carmichael, Craig S. Johnson, Luca Giordano, Darren Pollock |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Medical Doctors Health Care Providers medicine.medical_treatment lcsh:Medicine Colonic Diseases 0302 clinical medicine Medicine and Health Sciences Gastrointestinal Infections Medical Personnel lcsh:Science Laparoscopy Colectomy Multidisciplinary medicine.diagnostic_test Anastomosis Surgical Middle Aged Professions Treatment Outcome 030220 oncology & carcinogenesis Right Colectomy Female 030211 gastroenterology & hepatology Anatomy Research Article Adult Colectomies medicine.medical_specialty Colon Surgical and Invasive Medical Procedures Gastroenterology and Hepatology Minimally Invasive Surgery Anastomosis Extracorporeal Digestive System Procedures 03 medical and health sciences Physicians medicine Humans Minimally Invasive Surgical Procedures Aged Retrospective Studies Surgeons business.industry lcsh:R Biology and Life Sciences Retrospective cohort study Surgery Health Care Gastrointestinal Tract People and Places Propensity score matching lcsh:Q Population Groupings business Digestive System |
| Zdroj: | PLoS ONE PLoS ONE, Vol 13, Iss 10, p e0206277 (2018) |
| ISSN: | 1932-6203 |
| Popis: | Author(s): Cleary, Robert K; Kassir, Andrew; Johnson, Craig S; Bastawrous, Amir L; Soliman, Mark K; Marx, Daryl S; Giordano, Luca; Reidy, Tobi J; Parra-Davila, Eduardo; Obias, Vincent J; Carmichael, Joseph C; Pollock, Darren; Pigazzi, Alessio | Abstract: BackgroundThe primary objective of this study was to retrospectively compare short-term outcomes of intracorporeal versus extracorporeal anastomosis for minimally invasive laparoscopic and robotic-assisted right colectomies for benign and malignant disease. Recent studies suggest potential short-term outcomes advantages for the intracorporeal anastomosis technique.MethodsThis is a multicenter retrospective propensity score-matched comparison of intracorporeal and extracorporeal anastomosis techniques for laparoscopic and robotic-assisted right colectomy between January 11, 2010, and July 21, 2016.ResultsAfter propensity score-matching, there were a total of 1029 minimal invasive surgery cases for analysis-379 right colectomies (335 robotic-assisted and 44 laparoscopic) done with an intracorporeal anastomosis and 650 right colectomies (253 robotic-assisted and 397 laparoscopic) done with an extracorporeal anastomosis. There were no significant differences in any preoperative patient characteristics between groups. The minimally invasive intracorporeal anastomosis group had significantly longer operative times (pl0.0001), lower conversion to open rate (p = 0.01), shorter hospital length of stay (p = 0.02) and lower complication rate from after discharge to 30-days (p = 0.04) than the extracorporeal anastomosis group.ConclusionsThis comparison shows several clinical outcomes advantages for the intracorporeal anastomosis technique in minimally invasive right colectomy. These data may guide future refinements in minimally invasive training techniques and help surgeons choose among different minimally invasive options. |
| Databáze: | OpenAIRE |
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